Document Detail


Patient satisfaction with stress incontinence surgery.
MedLine Citation:
PMID:  20976815     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIMS: To identify predictors and correlates of patient satisfaction 24 months after Burch colpopexy or autologous fascial sling for treatment of stress urinary incontinence (SUI).
METHODS: Participants were the 655 randomized subjects in the Stress Incontinence Surgical Treatment Efficacy Trial (SISTEr). Variables potentially associated with satisfaction were tested in bivariate analysis, including demographics, baseline clinical characteristics of incontinence, and outcomes on validated subjective and objective measures. Satisfaction with treatment was defined as a response of "completely satisfied" or "mostly satisfied" on the Patient Satisfaction Questionnaire (PSQ) at 24 months. Variables significantly related to satisfaction were entered into multivariable regression models to test their independent association with satisfaction.
RESULTS: At 24 months post-surgery, 480 (73%) participants completed the PSQ. Mean (±SD) age of the sample was 52 (±10) years and 77% were white. Most (82%) were completely or mostly satisfied with their surgery related to urine leakage. In the final multivariable model, patient satisfaction was associated with greater reduction in SUI symptoms (from baseline to 24 months; OR = 1.17, 95% CI: 1.10, 1.24) and greater reductions in symptom distress (OR = 1.16; CI: 1.08, 1.24). Lower odds of satisfaction were associated with greater urge incontinence symptoms at baseline (OR = 0.09, CI: 0.04, 0.22), detrusor overactivity at 24 months (OR = 0.29, CI: 0.12, 0.69), and a positive stress test at 24 months (OR = 0.45, CI: 0.22, 0.91).
CONCLUSIONS: Stress incontinent women who also have urge incontinence symptoms may benefit from additional preoperative counseling to set realistic expectations about potential surgical outcomes or proactive treatment of urge incontinence symptoms to minimize their post-operative impact.
Authors:
Kathryn L Burgio; Linda Brubaker; Holly E Richter; Clifford Y Wai; Heather J Litman; Diane Borello France; Shawn A Menefee; Larry T Sirls; Stephen R Kraus; Harry W Johnson; Sharon L Tennstedt
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Neurourology and urodynamics     Volume:  29     ISSN:  1520-6777     ISO Abbreviation:  Neurourol. Urodyn.     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-10-26     Completed Date:  2011-02-09     Revised Date:  2013-09-25    
Medline Journal Info:
Nlm Unique ID:  8303326     Medline TA:  Neurourol Urodyn     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1403-9     Citation Subset:  IM    
Copyright Information:
© 2010 Wiley-Liss, Inc.
Affiliation:
University of Alabama atBirmingham, Birmingham VA Medical Center, 11G, 700 South 19th Street,Birmingham, AL 35233, USA. kburgio@uab.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Female
Health Care Surveys
Humans
Middle Aged
Multicenter Studies as Topic
Odds Ratio
Patient Satisfaction*
Questionnaires
Randomized Controlled Trials as Topic
Risk Assessment
Risk Factors
Suburethral Slings
Time Factors
Treatment Outcome
United States
Urinary Incontinence, Stress / surgery*
Urologic Surgical Procedures* / adverse effects,  instrumentation
Grant Support
ID/Acronym/Agency:
U01 DK 58225/DK/NIDDK NIH HHS; U01 DK058225/DK/NIDDK NIH HHS; U01 DK058229/DK/NIDDK NIH HHS; U01 DK058231/DK/NIDDK NIH HHS; U01 DK058234/DK/NIDDK NIH HHS; U01 DK060379/DK/NIDDK NIH HHS; U01 DK060380/DK/NIDDK NIH HHS; U01 DK060393/DK/NIDDK NIH HHS; U01 DK060395/DK/NIDDK NIH HHS; U01 DK060397/DK/NIDDK NIH HHS; U01 DK060401/DK/NIDDK NIH HHS; U01 DK58229/DK/NIDDK NIH HHS; U01 DK58231/DK/NIDDK NIH HHS; U01 DK58234/DK/NIDDK NIH HHS; U01 DK60380/DK/NIDDK NIH HHS; U01 DK60393/DK/NIDDK NIH HHS; U01 DK60395/DK/NIDDK NIH HHS; U01 DK60401/DK/NIDDK NIH HHS; U01DK60379/DK/NIDDK NIH HHS; U01DK60397/DK/NIDDK NIH HHS
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