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Long-Term Self-Assessment of Urinary Continence After Stress Urinary Incontinence Surgery

Strgulc, Maruša MD; Barbič, Matija MD, PhD

Female Pelvic Medicine & Reconstructive Surgery:
doi: 10.1097/SPV.0b013e31826a53c2
Original Articles
Abstract

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 χ2 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.

In Brief

Despite low long term success rates of stress incontinence surgical treatment the perimenopausal women consider their condition as acceptable.

Author Information

From the Department of Obstetrics and Gynecology, University Medical Centre Ljubljana, Ljubljana, Slovenia.

Reprints: Matija Barbič, MD, PhD, Department of Obstetrics and Gynecology, University Medical Centre Ljubljana, Šlajmerjeva 3, SI-1000 Ljubljana, Slovenia. E-mail: matija.barbic@guest.arnes.si.

The authors declare that they have nothing to disclose.

Copyright © 2012 Wolters Kluwer Health, Inc. All rights reserved.