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International Urogynecology Journal

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01-12-2016 | Original Article

Fulfilment of patient goals after tension-free vaginal tape operation for stress urinary incontinence

Authors: Karin Glavind, Jonna Bjørk, Sabrina Kousgaard

Published in: International Urogynecology Journal | Issue 12/2016

Abstract

Introduction and hypothesis

The aim of this study was to investigate patient-reported goals after a tension-free vaginal tape operation for stress urinary incontinence and the correlation with postoperative incontinence.

Methods

A prospective study involving 70 women was carried out. Preoperatively, patients completed the International Consultation on Incontinence Questionnaire Urinary Incontinence Short Form (ICIQ-UI SF) and stated three goals for the operation. A telephone interview was performed 3 months postoperatively.

Results

A Visual Analogue Scale (VAS) score from zero to ten estimated the extent to which goals were achieved. Goals were divided into five groups: 1, symptoms; 2, quality of life (physical); 3, quality of life (emotional); 4, sexual function; 5, avoidance. ICIQ-UI SF preoperative mean was 14.9 and postoperative mean was 1.5 (p < 0.05). A total of 210 goals were stated. The majority of the goals (38 %) were in group 2 concerning quality of life in the physical domains. Mean VAS score for all goals was 9.1 (SD 2). Thirty-seven patients (53 %) fulfilled all their goals. Twenty-one patients (30 %) did not have a VAS score of 10, although continent with an ICIQ-UI SF score of zero. Reasons for not achieving a full VAS score were that some still used pads out of fear (n = 10), that their mental focus was still on incontinence (n = 7) or that they had not yet tried some of the physical aims (n = 7).

Conclusions

Most patients achieved their goals. The majority of the goals concerned quality of life in the physical domains.

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Title: Fulfilment of patient goals after tension-free vaginal tape operation for stress urinary incontinence
Authors: Karin Glavind
Jonna Bjørk
Sabrina Kousgaard
Publication date: 01-12-2016
Publisher: Springer London
Published in: International Urogynecology Journal / Issue 12/2016
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-016-3049-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Fulfilment of patient goals after tension-free vaginal tape operation for stress urinary incontinence

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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