Urogenital prolapse and occult stress urinary incontinence

Brian S. Yamada, Kathleen C. Kobashi

Research output: Contribution to journalArticlepeer-review

5 Scopus citations


Background: A 76-year-old female presented to an outside clinic with symptoms of pelvic prolapse; she denied stress urinary incontinence (SUI). The patient had a history of two prior anti-incontinence surgeries. Pelvic examination revealed a grade IV cystocele. No SUI was identified, with or without reduction of the prolapse. Anterior colporrhaphy with cadaveric fascia was performed. Her prolapse symptoms resolved, but she had new-onset severe SUI. Investigations: Pelvic examination, cystoscopy, urodynamics. Diagnosis: Occult SUI unmasked after anterior colporrhaphy. Management: The patient was referred to our institution where videourodynamics were performed, revealing a well-supported bladder and SUI with Valsalva leak-point pressure of 26 cm H20. A transvaginal polypropylene sling was placed. She had complete resolution of SUI and denied exacerbation of mild urgency.

Original languageEnglish (US)
Pages (from-to)55-58
Number of pages4
JournalNature Clinical Practice Urology
Issue number1
StatePublished - Jan 2007


  • Prolapse
  • Stress urinary incontinence

ASJC Scopus subject areas

  • Urology


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