Int Urogynecol J Pelvic Floor Dysfunct. 2008 Dec;19(12):1631-8. Epub 2008 Aug 6.

Quality of life after surgery for stress incontinence.

Tennstedt SL, Litman HJ, Zimmern P, Ghetti C, Kusek JW, Nager CW, Mueller ER, Kraus SR, Varner E; Urinary Incontinence Treatment Network.

Source

New England Research Institutes, 9 Galen Street, Watertown, MA, 02472, USA. stennstedt@neriscience.com

Abstract

This study investigated changes in condition-specific quality of life (QOL) after surgery for stress urinary incontinence. Data from 655 women in a clinical trial comparing the Burch and fascial sling were examined. Improvement in QOL, measured with the Incontinence Impact Questionnaire (mean decrease 133.1; SD 109.8), was observed 6 months after surgery and persisted at 24 months. Women for whom surgery was successful (regardless of surgery type) had greater improvement in QOL (mean decrease 160.0; SD 103.9) than did women for whom surgery was not successful (mean decrease 113.6; SD 110.9; p < 0.0001), although not statistically significant after adjusting for covariates. Multivariable analysis showed that QOL improvement was related to decreased urinary incontinence (UI) symptom bother, greater improvement in UI severity, younger age, Hispanic ethnicity, and receiving Burch surgery. Among sexually active women, worsening sexual function had a negative impact on QOL. Improved QOL was explained most by UI symptom improvement.

PMID:: 18682875; [PubMed - indexed for MEDLINE]
PMCID:: PMC2576493

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Research Support, N.I.H., Extramural

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U01 DK058229-01/DK/NIDDK NIH HHS/United States

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