Clinical Edge

Summaries of Must-Read Clinical Literature, Guidelines, and FDA Actions

Concomitant POPUI Procedures & Gynecologic Cancer Surgery

Female Pelvic Med Reconstr Surg; ePub 2018 Apr 4; Bochenska, et al

Postoperative complications may not increase when concomitant surgery for pelvic organ prolapse and/or urinary incontinence (POPUI) is done at the time of gynecologic cancer surgery, a recent study suggests. Researchers identified 23,501 women with a diagnosis of a gynecologic malignancy. They found:

  • They most common gynecologic malignancy included uterine (63%), ovarian (25%), and cervical cancer (8%).
  • Only 2.4% of women undergoing gynecologic cancer surgery had a concomitant pelvic organ prolapse and/or urinary incontinence (POPUI) procedure.
  • The most commonly performed POPUI procedures included anterior and/or posterior colporrhaphy, laparoscopic colpopexy, and midurethral sling.
  • There were no difference in 30-day reoperation.


Bochenska K, Mueller M, Geynisman-Tan J, et al. Concomitant repair of pelvic floor disorders in women undergoing surgery for gynecologic malignancies. [Published online ahead of print April 4, 2018]. Female Pelvic Med Reconstr Surg. doi:10.1097/SPV.0000000000000579.

This Week's Must Reads

ACOG: Well-Women Visits Can Minimize Health Risks, Obstet Gynecol; 2018 Oct; ACOG, et al

Gender Images & Social Expectations in BC Diagnosis, Cancer; ePub 2018 Sep 24; Kim, Glassgow, et al

Intended Pregnancy After Being Denied an Abortion, Contraception; ePub 2018 Sep 20; Upadhyay, et al

Opioid Prescribing After Surgery for Pelvic Organ Prolapse, Female Pelvic Med Reconstr Surg; ePub 2018 Sep 22; Leach, et al

VTE risk for continuous cycle oral contraceptives, Li J et al. JAMA Intern Med. 2018 Oct 1. doi:10.1001/jamainternmed.2018.4251

Must Reads in Gynecologic Cancer

USPSTF on Screening for Cervical Cancer, JAMA; 2018 Aug 21; US Preventive Services Task Force

Gynecologic Issues in Adolescents with Cancer, Obstet Gynecol; ePub 2018 Aug; ACOG, et al

Morcellation of incidental uterine sarcomas doubled 10-year mortality risk in Norwegian study, Bretthauer M et al. European Journal of Cancer; 2018, 62-68

Place of Death in Patients with Gynecologic Cancer, Obstet Gynecol; ePub 2018 May 7; Hicks-Courant, et al

Recent IUD Use and Risk of Cervical Cancer, Contraception; ePub 2018 Apr 16; Averbach, et al