Objective:

To assess the effectiveness of the combination of concomitant midurethral sling (MUS) and anterior colporrhaphy (AC) for treating stress urinary incontinence (SUI) associated with cystocele.

Key Findings:

• SUI affects 40-63% of individuals with pelvic organ prolapse (POP).
• Concomitant MUS and AC may improve SUI correction by providing anterior vaginal wall support.
• Reported cure rates for combined interventions vary significantly, from 80.5% to 97%, indicating a need for further investigation.

Interpretation:

The combination of MUS and AC may offer a promising approach for managing SUI in patients with cystocele, but further research is needed to establish consistent efficacy and validate these findings.

Limitations:

• Variability in reported cure rates across studies may affect the reliability of the findings.
• Exclusion of studies with other interventions complicates data extraction and may limit the generalizability of results.
• Limited research specifically addressing the combination of MUS and AC restricts understanding of its efficacy.

Conclusion:

A thorough evaluation of the combined strategy of MUS and AC is essential to better understand its efficacy in treating SUI associated with cystocele, particularly in identifying optimal patient selection and surgical techniques.