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 [chi]2 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.
Written by:
Strgulc M, Barbič M. Are you the author?
Department of Obstetrics and Gynecology, University Medical Centre Ljubljana, Ljubljana, Slovenia.
Reference: Female Pelvic Med Reconstr Surg. 2012 Sep-Oct;18(5):296-8.
doi: 10.1097/SPV.0b013e31826a53c2
PubMed Abstract
PMID: 22983274
UroToday.com Stress Urinary Incontinence Section
