Correlation of persistent stress urinary incontinence with quality of life after suspension procedures: Is continence the only decisive postoperative criterion of success?

Filbeck, Thomas and Ullrich, Traugott and Pichlmeier, Ulrich and Kiel, Hans J. and Wieland, Wolf F. and Roessler, Wolfgang (1999) Correlation of persistent stress urinary incontinence with quality of life after suspension procedures: Is continence the only decisive postoperative criterion of success? UROLOGY, 54 (2). pp. 247-251. ISSN 0090-4295,

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Abstract

Objectives. To determine objective continence rates and to include in the evaluation subjective assessment of continence and quality of life by the affected patients and correlate these with the objective continence rates in a retrospective study. Methods. One hundred thirty-three female patients in our clinic underwent suspension procedures for stress urinary incontinence, 68 undergoing a Burch colposuspension and 65 a Rat bladder neck suspension. The continence rate was evaluated by questionnaire and compared with patients' postoperative self-assessment of continence and pre- and postoperative quality of life assessments. Results. For the 105 women returning evaluable questionnaires (57 Burch and 48 Rat procedure), the continence rate was 69.5% (75.4% in the Burch group, 60.4% in the Rat group). Mild incontinence requiring 1 to 2 sanitary pads daily was found in 19.3% of the Burch group and 31.3% of the Rat group. Moderate incontinence requiring 3 to 5 pads daily was found in 5.5% of the Burch and 8.3% of the Rat group, No patients had severe incontinence (more than 5 pads daily). Both groups showed statistically significant improvement in postoperative quality of life, Despite persistent incontinence, the satisfaction rate was comparable to that of continent patients. Conclusions. The results show that in addition to objective parameters, subjective assessment of quality of life is a factor that should be included in the postoperative evaluation of surgical results. (C) 1999, Elsevier Science Inc.

Item Type: Article
Uncontrolled Keywords: BLADDER NECK SUSPENSION; BURCH COLPOSUSPENSION;
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Urologie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 11 Jan 2023 15:43
Last Modified: 11 Jan 2023 15:43
URI: https://pred.uni-regensburg.de/id/eprint/49113

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