Department of Obstetrics and Gynecology, Division of Urogynecology and Pelvic Reconstructive Surgery, North Shore University Hospital/Long Island Jewish, New York, USA.
To compare changes in quality of life for women undergoing either suprapubic or transvaginal midurethral sling placement for stress urinary incontinence (SUI).
A retrospective cohort study was conducted involving 113 patients who underwent transvaginal or suprapubic midurethral sling placement for SUI over 2years at a US institution. All patients completed a short form of the urogenital distress inventory (UDI-6) questionnaire preoperatively and postoperatively. Preoperative and postoperative UDI-6 scores were compared between the 2 groups. Data were analyzed using the Mann-Whitney U test and the Fisher exact test.
A midurethral sling was placed using the suprapubic approach in 70 patients, and 43 patients underwent the procedure using the transvaginal approach. Preoperatively, there was no statistical difference between mean UDI-6 scores for the suprapubic versus the transvaginal group (48.5 versus 51.0 P=0.9). Postoperatively, patients who underwent a suprapubic procedure had significantly lower mean UDI-6 scores than those who underwent a transvaginal procedure (10.6 versus 17.0; P< 0.005).
Suprapubic midurethral sling placement was associated with a significantly greater quality of life postoperatively compared with the transvaginal procedure.
Written by:
Shalom DF, Klapper AS, Lin SN, Winkler HA. Are you the author?
Reference: Int J Gynaecol Obstet. 2011 Jun 11. Epub ahead of print.
doi: 10.1016/j.ijgo.2011.02.010
PubMed Abstract
PMID: 21669417
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