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International Urogynecology Journal

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01-10-2012 | Original Article

Female urinary incontinence: patient-reported outcomes 1 year after midurethral sling operations

Authors: Margareta Nilsson, Othon Lalos, Håkan Lindkvist, Mats Löfgren, Ann Lalos

Published in: International Urogynecology Journal | Issue 10/2012

Abstract

Introduction and hypothesis

Although midurethral slings have become standard surgical methods to treat stress urinary incontinence (SUI), little is known about women who still have urinary incontinence (UI) after surgery. This study assesses and compares the patient-reported outcome 12 months after tension-free vaginal tape (TVT), tension-free vaginal tape-obturator (TVT-O), and transobturator tape (TOT), with a special focus on women who still have urinary leakage postoperatively.

Methods

This study analyzed preoperative and 12-month postoperative data from 3,334 women registered in the Swedish National Quality Register for Gynecological Surgery.

Results

Among the women operated with TVT (n = 2,059), TVT-O (n = 797), and TOT (n = 478), 67 %, 62 %, and 61 %, respectively, were very satisfied with the result at the 1-year follow-up. There was a significantly higher chance of becoming continent after TVT compared with TOT. In total, 977 women (29 %) still had some form of urinary leakage postoperatively. Among the postoperatively incontinent women who expressed a negative impact of UI on family, social, work, and sexual life preoperatively, considerably fewer reported a negative impact in all domains after surgery. Of those in the postoperatively incontinent group who had coital incontinence preoperatively, 63 % reported a cure of coital incontinence.

Conclusions

The proportion of women very satisfied with the result of the operation did not differ between the three groups. TVT had a higher SUI cure rate than did TOT. Despite urinary leakage 1-year postoperatively, half of the women were satisfied with the result of the operation.

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Title: Female urinary incontinence: patient-reported outcomes 1 year after midurethral sling operations
Authors: Margareta Nilsson
Othon Lalos
Håkan Lindkvist
Mats Löfgren
Ann Lalos
Publication date: 01-10-2012
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 10/2012
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-012-1752-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Female urinary incontinence: patient-reported outcomes 1 year after midurethral sling operations

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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