Combined Versus Sequential Reconstructive Surgeries

G.Willy Davila

Surveys have demonstrated that incontinence and prolapse syndromes affecting the various compartments of the pelvic floor (PF) have a high rate of coexistence (Chapter 1-1). This frequent coexistence of multiple PF problems in a given patient can complicate the making of treatment decisions. This is particularly true if surgical therapy involving multiple surgeons is indicated. Once all PF problems have been identified, evaluated, and treatment options determined, it is not an uncommon finding that separate surgical procedures will be necessary. The decision then needs to be made to either perform sequential procedures at remote times or repair all defects at one setting. Multiple factors will influence this decision-making process. This chapter will discuss the implications of performing joint surgical procedures and review our own observations and experiences.

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