Objective: This Study aimed to compare the efficacy of mid urethral sling surgery with or without concurrent POP surgery.

Methods: Retrospective review was conducted on 345 patients. All patients undergoing MUS either Tension free vaginal tape or Transobturator tape for the treatment SUI were included. Two groups were formed; Group A, who had MUS surgery; Group B, who had concurrent MUS and POP surgery. Patient parameters documented including preoperative data, peri and postoperative complications and postoperative 6th month, 12th month satisfaction levels using UDI-6 and IIQ-7, negative cough stress test was defined as objective cure. Logistic regression used to identify the parameters for surgical failure at 6th and 12th month postoperatively.

Results: 345 women underwent MUS surgery. The MUS with POP surgery was performed in 223 and MUS without POP surgery was performed in 122. Parity (>3), menopause was significant in those with concurrent prolapse (p>0.05) however positive pre-operative cough stress test was found in those who doesn’t have concurrent prolapse (p=0.001). At 6th and 12th months, objective and subjective cure rates were not significantly different between the groups. However, UDI-6 scores statistically significant at 6th month among two groups. In logistic regression analysis BMI was the factor associated with objective failure at 6th month. MUS type and presence of concomitant Prolapse surgery were found to have no significance.

Conclusion: Simultaneous prolapse surgery and MUS surgery is just as risk-free and successful without any consequences as MUS surgery alone, and it has no effect on the success rate of MUS