Document Detail


Long-term self-assessment of urinary continence after stress urinary incontinence surgery.
MedLine Citation:
PMID:  22983274     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
OBJECTIVES: To evaluate the long-term subjective urinary continence status and quality of life after 3 types of primary operation for stress urinary incontinence.
METHODS: One hundred thirty-four consecutive patients who underwent anti-incontinence surgery (laparoscopic colposuspension, classic tension-free vaginal tape procedure, or open colposuspension) 6 to 9 years ago were mailed short-form questionnaires of the International Consultation on Incontinence Questionnaire-Urinary Incontinence. For statistical analysis, the Student t test, the χ test, and the analysis-of-variance test were used.
RESULTS: Eighty-seven patients (64.9%) returned the questionnaire. The mean follow-up was 7.48 years (range, 6-9 years). Patients in the tension-free vaginal tape group were significantly older (P < 0.001). After primary operation, 7.4% (2 of the 27 patients) in the laparoscopic colposuspension group, 23.53% (8/34) in the classic tension-free vaginal tape group, and 11.5% (3/26) in the open colposuspension group were continent. Repeated operative treatment was more frequent in the laparoscopic colposuspension (18.5%) and open colposuspension (30%) groups compared with the tension-free vaginal tape group (0%; P ≤ 0.003). Calculated scores from the questionnaire from all 3 groups indicated moderate to severe recurrent urinary incontinence with equal prevalence of symptoms of stress, urge, or mixed urinary incontinence.
CONCLUSIONS: Subjective urinary continence 6 to 9 years after primary operative treatment was low for all analyzed procedures.
Authors:
Maruša Strgulc; Matija Barbič
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Female pelvic medicine & reconstructive surgery     Volume:  18     ISSN:  2151-8378     ISO Abbreviation:  Female Pelvic Med Reconstr Surg     Publication Date:    2012 Sep-Oct
Date Detail:
Created Date:  2012-09-17     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101528690     Medline TA:  Female Pelvic Med Reconstr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  296-8     Citation Subset:  IM    
Affiliation:
From the Department of Obstetrics and Gynecology, University Medical Centre Ljubljana, Ljubljana, Slovenia.
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