Skip Navigation LinksHome > September/October 2012 - Volume 18 - Issue 5 > Long-Term Self-Assessment of Urinary Continence After Stress...
Female Pelvic Medicine & Reconstructive Surgery:
doi: 10.1097/SPV.0b013e31826a53c2
Original Articles

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

Strgulc, Maruša MD; Barbič, Matija MD, PhD

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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.

© 2012 by Wolters Kluwer Health | Lippincott Williams & Wilkins

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