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Published in: International Urogynecology Journal 3/2010

01-03-2010 | Original Article

Outcome measures and definition of cure in female stress urinary incontinence surgery: a survey of recent publications

Authors: Peter A. Castillo, Luis M. Espaillat-Rijo, G. Willy Davila

Published in: International Urogynecology Journal | Issue 3/2010

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Abstract

Introduction and hypothesis

Much variability exists in outcome measures used to report success of SUI surgery. We set out to evaluate outcome measures and definitions of cure in SUI surgery studies.

Methods

Outcome measures, success rates, and definition of cure were analyzed from published series and compared to recommendations by leading authorities.

Results

Ninety-one publications were analyzed. Thirty (33%) utilized solely subjective measures, four (4%) utilized only objective measures, and 57 (63%) included both. Sixty-one (67%) used symptom questionnaires, 56 (60%) QOL questionnaires, and six (7%) visual analog scale. Twelve (13%) used voiding diaries and 52 (56%) used self-reporting as an outcome measure. Objective measures: 52 (57%) cough stress test, 37 (41%) urodynamic evaluation, 28 (31%) pad testing and a combination in 33 (36%). Few studies adhered to one set of outcome recommendations.

Conclusion

Outcome measures used to evaluate success of anti-incontinence procedures lack consensus and comparability.
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Metadata
Title
Outcome measures and definition of cure in female stress urinary incontinence surgery: a survey of recent publications
Authors
Peter A. Castillo
Luis M. Espaillat-Rijo
G. Willy Davila
Publication date
01-03-2010
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 3/2010
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-009-1032-5

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