• At least 21 years of age

• Vaginal bulge symptoms as indicated by an affirmative response of \>1 to question 3 of the PFDI-SF20

• POP ≥ stage II according to the pelvic organ prolapse quantification (POP-Q) system45, with evidence of apical descent

• Women being considered for minimally invasive sacrocolpopexy (with or without concomitant hysterectomy)

• Objective SUI: positive standardized cough stress test on clinical examination or on urodynamic study with reduced prolapse

• Understanding and acceptance of the need to return for all scheduled follow-up visits and willing to complete study questionnaires

• Able to give informed consent