The following are multiple choice questions (with answers) about medical knowledge.   Midurethral sling (MUS) can improve overactive bladder (OAB) symptoms. It is unclear if anterior/apical prolapse (AA) repair provides additional benefit. We hypothesized that women with mixed urinary incontinence (MUI) experience greater improvement in the OAB component of their symptoms after concomitant MUS and AA repair compared with MUS alone. This is a retrospective cohort study of women with bothersome MUI (defined by objective stress test and validated questionnaire) undergoing MUS alone ("MUS-only") or concomitant MUS and AA repair ("MUS + AA"). Our primary outcome was the Overactive Bladder Questionnaire Symptom Severity (OAB-q SS) change score 6 weeks after surgery. Of 151 women, 67 (44 %) underwent MUS-only and 84 (56 %) underwent MUS + AA. The MUS-only cohort was younger and had less severe baseline prolapse (p < 0.05 for both). Postoperative complications (predominantly UTI) occurred in 35 (23 %) patients and were similar between cohorts. For all subjects mean OAB-q SS scores significantly improved postoperatively (p < 0.05). Our primary outcome, OAB-q SS change score, showed no significant differences between cohorts (30 ± 26 MUS-only vs 25 ± 25 MUS + AA, p = 0.20), indicating similar improvements in OAB symptoms. Multivariate linear regression analysis revealed no difference in OAB-q SS change score between cohorts; however, OAB-q SS change scores were lower for women with a postoperative complication (β = -19, 95 % CI -31 to -6; p < 0.01).   **Question:** Does concomitant anterior/apical repair during midurethral sling improve the overactive bladder component of mixed incontinence?   (A) Yes   (B) No   (C) Maybe
['(B) No <> answer', 'The following are multiple choice questions (with answers) about medical knowledge. <> instruction', '(A) Yes \n (B) No \n (C) Maybe <> possible answers', 'Midurethral sling (MUS) can improve overactive bladder (OAB) symptoms. It is unclear if anterior/apical prolapse (AA) repair provides additional benefit. We hypothesized that women with mixed urinary incontinence (MUI) experience greater improvement in the OAB component of their symptoms after concomitant MUS and AA repair compared with MUS alone. This is a retrospective cohort study of women with bothersome MUI (defined by objective stress test and validated questionnaire) undergoing MUS alone ("MUS-only") or concomitant MUS and AA repair ("MUS + AA"). Our primary outcome was the Overactive Bladder Questionnaire Symptom Severity (OAB-q SS) change score 6\xa0weeks after surgery. Of 151 women, 67 (44\xa0%) underwent MUS-only and 84 (56\xa0%) underwent MUS + AA. The MUS-only cohort was younger and had less severe baseline prolapse (p\u2009<\u20090.05 for both). Postoperative complications (predominantly UTI) occurred in 35 (23\xa0%) patients and were similar between cohorts. For all subjects mean OAB-q SS scores significantly improved postoperatively (p\u2009<\u20090.05). Our primary outcome, OAB-q SS change score, showed no significant differences between cohorts (30\u2009±\u200926 MUS-only vs 25\u2009±\u200925 MUS + AA, p\u2009=\u20090.20), indicating similar improvements in OAB symptoms. Multivariate linear regression analysis revealed no difference in OAB-q SS change score between cohorts; however, OAB-q SS change scores were lower for women with a postoperative complication (β\u2009=\u2009-19, 95\xa0% CI -31 to -6; p\u2009<\u20090.01). \n   Does concomitant anterior/apical repair during midurethral sling improve the overactive bladder component of mixed incontinence? <> context@']