Colpocleisis is a safe and effective surgical option for POP that is also able to significantly improve urinary incontinence when performed without a concomitant anti-incontinence procedure. The low incidence of new-onset urinary incontinence after surgery supports a staged rather than concomitant approach for prolapse and anti-incontinence procedures. Counseling patients regarding the potential persistence or development of urinary symptoms is essential. Based on these findings, preoperative urodynamic testing might not be necessary for many elderly patients. Further comparative studies are required to confirm these findings and refine the patient selection criteria.
Yaraghi et al. (Tue,) studied this question.