Patient satisfaction with stress incontinence surgery

Kathryn L. Burgio, Linda Brubaker, Holly E. Richter, Clifford Y. Wai, Heather J. Litman, Diane Borello France, Shawn A. Menefee, Larry T. Sirls, Stephen R. Kraus, Harry W. Johnson, Sharon L. Tennstedt

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

Aims To identify predictors and correlates of patient satisfaction 24 months after Burch colpopexy or autologous fascial sling for treatment of stress urinary incontinence (SUI). Methods Participants were the 655 randomized subjects in the Stress Incontinence Surgical Treatment Efficacy Trial (SISTEr). Variables potentially associated with satisfaction were tested in bivariate analysis, including demographics, baseline clinical characteristics of incontinence, and outcomes on validated subjective and objective measures. Satisfaction with treatment was defined as a response of "completely satisfied" or "mostly satisfied" on the Patient Satisfaction Questionnaire (PSQ) at 24 months. Variables significantly related to satisfaction were entered into multivariable regression models to test their independent association with satisfaction. Results At 24 months post-surgery, 480 (73%) participants completed the PSQ. Mean (±SD) age of the sample was 52 (±10) years and 77% were white. Most (82%) were completely or mostly satisfied with their surgery related to urine leakage. In the final multivariable model, patient satisfaction was associated with greater reduction in SUI symptoms (from baseline to 24 months; OR = 1.17, 95% CI: 1.10, 1.24) and greater reductions in symptom distress (OR = 1.16; CI: 1.08, 1.24). Lower odds of satisfaction were associated with greater urge incontinence symptoms at baseline (OR = 0.09, CI: 0.04, 0.22), detrusor overactivity at 24 months (OR = 0.29, CI: 0.12, 0.69), and a positive stress test at 24 months (OR = 0.45, CI: 0.22, 0.91). Conclusions Stress incontinent women who also have urge incontinence symptoms may benefit from additional preoperative counseling to set realistic expectations about potential surgical outcomes or proactive treatment of urge incontinence symptoms to minimize their post-operative impact.

Original languageEnglish (US)
Pages (from-to)1403-1409
Number of pages7
JournalNeurourology and Urodynamics
Volume29
Issue number8
DOIs
StatePublished - Nov 2010

Fingerprint

Patient Satisfaction
Urge Urinary Incontinence
Stress Urinary Incontinence
Exercise Test
Counseling
Therapeutics
Demography
Urine
Surveys and Questionnaires

Keywords

  • patient outcomes assessment
  • patient satisfaction
  • surgery
  • urinary incontinence

ASJC Scopus subject areas

  • Clinical Neurology
  • Urology

Cite this

Burgio, K. L., Brubaker, L., Richter, H. E., Wai, C. Y., Litman, H. J., France, D. B., ... Tennstedt, S. L. (2010). Patient satisfaction with stress incontinence surgery. Neurourology and Urodynamics, 29(8), 1403-1409. https://doi.org/10.1002/nau.20877

Patient satisfaction with stress incontinence surgery. / Burgio, Kathryn L.; Brubaker, Linda; Richter, Holly E.; Wai, Clifford Y.; Litman, Heather J.; France, Diane Borello; Menefee, Shawn A.; Sirls, Larry T.; Kraus, Stephen R.; Johnson, Harry W.; Tennstedt, Sharon L.

In: Neurourology and Urodynamics, Vol. 29, No. 8, 11.2010, p. 1403-1409.

Research output: Contribution to journalArticle

Burgio, KL, Brubaker, L, Richter, HE, Wai, CY, Litman, HJ, France, DB, Menefee, SA, Sirls, LT, Kraus, SR, Johnson, HW & Tennstedt, SL 2010, 'Patient satisfaction with stress incontinence surgery', Neurourology and Urodynamics, vol. 29, no. 8, pp. 1403-1409. https://doi.org/10.1002/nau.20877
Burgio KL, Brubaker L, Richter HE, Wai CY, Litman HJ, France DB et al. Patient satisfaction with stress incontinence surgery. Neurourology and Urodynamics. 2010 Nov;29(8):1403-1409. https://doi.org/10.1002/nau.20877
Burgio, Kathryn L. ; Brubaker, Linda ; Richter, Holly E. ; Wai, Clifford Y. ; Litman, Heather J. ; France, Diane Borello ; Menefee, Shawn A. ; Sirls, Larry T. ; Kraus, Stephen R. ; Johnson, Harry W. ; Tennstedt, Sharon L. / Patient satisfaction with stress incontinence surgery. In: Neurourology and Urodynamics. 2010 ; Vol. 29, No. 8. pp. 1403-1409.
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abstract = "Aims To identify predictors and correlates of patient satisfaction 24 months after Burch colpopexy or autologous fascial sling for treatment of stress urinary incontinence (SUI). Methods Participants were the 655 randomized subjects in the Stress Incontinence Surgical Treatment Efficacy Trial (SISTEr). Variables potentially associated with satisfaction were tested in bivariate analysis, including demographics, baseline clinical characteristics of incontinence, and outcomes on validated subjective and objective measures. Satisfaction with treatment was defined as a response of {"}completely satisfied{"} or {"}mostly satisfied{"} on the Patient Satisfaction Questionnaire (PSQ) at 24 months. Variables significantly related to satisfaction were entered into multivariable regression models to test their independent association with satisfaction. Results At 24 months post-surgery, 480 (73{\%}) participants completed the PSQ. Mean (±SD) age of the sample was 52 (±10) years and 77{\%} were white. Most (82{\%}) were completely or mostly satisfied with their surgery related to urine leakage. In the final multivariable model, patient satisfaction was associated with greater reduction in SUI symptoms (from baseline to 24 months; OR = 1.17, 95{\%} CI: 1.10, 1.24) and greater reductions in symptom distress (OR = 1.16; CI: 1.08, 1.24). Lower odds of satisfaction were associated with greater urge incontinence symptoms at baseline (OR = 0.09, CI: 0.04, 0.22), detrusor overactivity at 24 months (OR = 0.29, CI: 0.12, 0.69), and a positive stress test at 24 months (OR = 0.45, CI: 0.22, 0.91). Conclusions Stress incontinent women who also have urge incontinence symptoms may benefit from additional preoperative counseling to set realistic expectations about potential surgical outcomes or proactive treatment of urge incontinence symptoms to minimize their post-operative impact.",
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AU - Burgio, Kathryn L.

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AU - France, Diane Borello

AU - Menefee, Shawn A.

AU - Sirls, Larry T.

AU - Kraus, Stephen R.

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N2 - Aims To identify predictors and correlates of patient satisfaction 24 months after Burch colpopexy or autologous fascial sling for treatment of stress urinary incontinence (SUI). Methods Participants were the 655 randomized subjects in the Stress Incontinence Surgical Treatment Efficacy Trial (SISTEr). Variables potentially associated with satisfaction were tested in bivariate analysis, including demographics, baseline clinical characteristics of incontinence, and outcomes on validated subjective and objective measures. Satisfaction with treatment was defined as a response of "completely satisfied" or "mostly satisfied" on the Patient Satisfaction Questionnaire (PSQ) at 24 months. Variables significantly related to satisfaction were entered into multivariable regression models to test their independent association with satisfaction. Results At 24 months post-surgery, 480 (73%) participants completed the PSQ. Mean (±SD) age of the sample was 52 (±10) years and 77% were white. Most (82%) were completely or mostly satisfied with their surgery related to urine leakage. In the final multivariable model, patient satisfaction was associated with greater reduction in SUI symptoms (from baseline to 24 months; OR = 1.17, 95% CI: 1.10, 1.24) and greater reductions in symptom distress (OR = 1.16; CI: 1.08, 1.24). Lower odds of satisfaction were associated with greater urge incontinence symptoms at baseline (OR = 0.09, CI: 0.04, 0.22), detrusor overactivity at 24 months (OR = 0.29, CI: 0.12, 0.69), and a positive stress test at 24 months (OR = 0.45, CI: 0.22, 0.91). Conclusions Stress incontinent women who also have urge incontinence symptoms may benefit from additional preoperative counseling to set realistic expectations about potential surgical outcomes or proactive treatment of urge incontinence symptoms to minimize their post-operative impact.

AB - Aims To identify predictors and correlates of patient satisfaction 24 months after Burch colpopexy or autologous fascial sling for treatment of stress urinary incontinence (SUI). Methods Participants were the 655 randomized subjects in the Stress Incontinence Surgical Treatment Efficacy Trial (SISTEr). Variables potentially associated with satisfaction were tested in bivariate analysis, including demographics, baseline clinical characteristics of incontinence, and outcomes on validated subjective and objective measures. Satisfaction with treatment was defined as a response of "completely satisfied" or "mostly satisfied" on the Patient Satisfaction Questionnaire (PSQ) at 24 months. Variables significantly related to satisfaction were entered into multivariable regression models to test their independent association with satisfaction. Results At 24 months post-surgery, 480 (73%) participants completed the PSQ. Mean (±SD) age of the sample was 52 (±10) years and 77% were white. Most (82%) were completely or mostly satisfied with their surgery related to urine leakage. In the final multivariable model, patient satisfaction was associated with greater reduction in SUI symptoms (from baseline to 24 months; OR = 1.17, 95% CI: 1.10, 1.24) and greater reductions in symptom distress (OR = 1.16; CI: 1.08, 1.24). Lower odds of satisfaction were associated with greater urge incontinence symptoms at baseline (OR = 0.09, CI: 0.04, 0.22), detrusor overactivity at 24 months (OR = 0.29, CI: 0.12, 0.69), and a positive stress test at 24 months (OR = 0.45, CI: 0.22, 0.91). Conclusions Stress incontinent women who also have urge incontinence symptoms may benefit from additional preoperative counseling to set realistic expectations about potential surgical outcomes or proactive treatment of urge incontinence symptoms to minimize their post-operative impact.

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