ORIGINAL ARTICLE

Comparison of Urinary Incontinence Occurrence Among Patients With Advanced Pelvic Organ Prolapse After Single Incision Mesh (SIM) and Anterior Mesh (A-Mesh) With Sacrospinous Ligament Fixation (SSF) Surgery at 1 Year Follow-Up Study

Corresponding Author

Tsia-Shu Lo

[email protected]

orcid.org/0000-0002-3885-1359

Division of Urogynecology, Department of Obstetrics and Gynecology, Linkou, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan, Taiwan

Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Keelung Medical Center, Keelung, Taiwan

Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Taipei, Medical Center, Taipei, Taiwan

Chang Gung University, School of Medicine, Taoyuan, Taiwan

Correspondence:

Tsia-Shu Lo ([email protected])

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Maherah Kamarudin,

Maherah Kamarudin

Division of Urogynecology, Department of Obstetrics and Gynecology, Linkou, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan, Taiwan

Department of Obstetrics & Gynecology, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia

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Huan-Ka Chiung,

Huan-Ka Chiung

Division of Urogynecology, Department of Obstetrics and Gynecology, Linkou, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan, Taiwan

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Eyal Rom,

Eyal Rom

Department of Obstetrics and Gynecology, Emek Medical Center, Afula, Israel

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Louiza Erika Rellora,

Louiza Erika Rellora

Department of Obstetrics and Gynecology, Ospital Ng Lipa, City of Lipa, Philippines

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Wu-Chiao Hsieh,

Wu-Chiao Hsieh

Division of Urogynecology, Department of Obstetrics and Gynecology, Linkou, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan, Taiwan

Chang Gung University, School of Medicine, Taoyuan, Taiwan

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Tsia-Shu Lo,

Corresponding Author

Tsia-Shu Lo

[email protected]

orcid.org/0000-0002-3885-1359

Division of Urogynecology, Department of Obstetrics and Gynecology, Linkou, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan, Taiwan

Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Keelung Medical Center, Keelung, Taiwan

Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Taipei, Medical Center, Taipei, Taiwan

Chang Gung University, School of Medicine, Taoyuan, Taiwan

Correspondence:

Tsia-Shu Lo ([email protected])

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Maherah Kamarudin,

Maherah Kamarudin

Division of Urogynecology, Department of Obstetrics and Gynecology, Linkou, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan, Taiwan

Department of Obstetrics & Gynecology, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Malaysia

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Huan-Ka Chiung,

Huan-Ka Chiung

Division of Urogynecology, Department of Obstetrics and Gynecology, Linkou, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan, Taiwan

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Eyal Rom,

Eyal Rom

Department of Obstetrics and Gynecology, Emek Medical Center, Afula, Israel

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Louiza Erika Rellora,

Louiza Erika Rellora

Department of Obstetrics and Gynecology, Ospital Ng Lipa, City of Lipa, Philippines

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Wu-Chiao Hsieh,

Wu-Chiao Hsieh

Division of Urogynecology, Department of Obstetrics and Gynecology, Linkou, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan, Taiwan

Chang Gung University, School of Medicine, Taoyuan, Taiwan

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First published: 29 June 2025

https://doi.org/10.1111/luts.70017

Funding: The authors received no specific funding for this work.

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ABSTRACT

Objective

We aimed to study the incidence of de novo and persistent stress urinary incontinence (SUI), urodynamic stress incontinence (USI) for single incision mesh (SIM) using Calistar-S and anterior mesh (A-mesh) using Surelift-A with sacrospinous fixation (SSF).

Methods

Patients with Stage III or IV POP who underwent Surelift-A + SSF (A-mesh + SSF) or Calistar-S (SIM) were evaluated at 1 year post-operative and compared. The primary outcome was the emergence of post-operative de novo and persistent SUI. Secondary outcomes included the rate of POP recurrence, quality of life, sexual function, and complications.

Results

One hundred and seven patients underwent SIM and 122 patients with A-mesh + SSF. 12/58 (20.7%) had de novo USI, 15/58 (25.9%) de novo SUI in SIM, while in the A-mesh + SSF group, de novo USI developed in 3/43 (7%) and de novo SUI in 4/43 (9.3%), significantly higher with p = 0.048 and p = 0.035 respectively. Rates of persistent USI and SUI were comparable between groups. Objective cure was comparable between the two groups (96.3% vs. 97.5%, p = 0.428), subjective cure 99/107 (92%) vs. 114/122 (93.8%) for SIM vs. A-mesh + SSF. Quality-of-life measures improved significantly in both groups, with greater perceived improvement in the A-mesh + SSF group. One case of bladder injury occurred in SIM and one mesh erosion was seen in both groups.

Conclusion

Risk of de novo SUI and de novo USI were three-fold higher in the SIM (Calistar-S), however risk of persistent USI and SUI was similar. Both SIM and A-mesh + SSF confer comparable high objective and subjective cure.

Conflicts of Interest

The authors declare no conflicts of interest.

Open Research

Data Availability Statement

The data that support the findings of this study are available from the corresponding author upon reasonable request.

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Volume17, Issue4

July 2025

e70017

Comparison of Urinary Incontinence Occurrence Among Patients With Advanced Pelvic Organ Prolapse After Single Incision Mesh (SIM) and Anterior Mesh (A-Mesh) With Sacrospinous Ligament Fixation (SSF) Surgery at 1 Year Follow-Up Study

ABSTRACT

Objective

Methods

Results

Conclusion

Conflicts of Interest

Open Research

Data Availability Statement

References

References

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Comparison of Urinary Incontinence Occurrence Among Patients With Advanced Pelvic Organ Prolapse After Single Incision Mesh (SIM) and Anterior Mesh (A-Mesh) With Sacrospinous Ligament Fixation (SSF) Surgery at 1 Year Follow-Up Study

ABSTRACT

Objective

Methods

Results

Conclusion

Conflicts of Interest

Open Research

Data Availability Statement

References

References

Related

Information