**11. Recurrent prolapse and stress urinary incontinence**

Vault prolapse and incontinence can develop simultaneously after hysterectomy. Women with prolapse who are continent have an increased risk of developing de novo stress urinary incontinence after surgical prolapse repair. Therefore addressing stress urinary incontinence at the time of surgical intervention for prolapse is an important consideration for improving the quality of life. Performing an anti-incontinence procedure at the time of prolapse repair is effective in reducing the risks of occult stress urinary incontinence postoperatively.
