Abstract
Purpose: We evaluated by questionnaire analysis the success rate and overall patient satisfaction after pubovaginal sling surgery. Materials and Methods: A total of 40 women (mean age 65.7 years, range 45 to 79) underwent pubovaginal sling surgery for stress urinary incontinence due to intrinsic sphincteric deficiency. Patients completed a detailed questionnaire to assess voiding symptoms, urinary control and satisfaction. Of 40 patients 37 (92.5%) returned the questionnaire, with a mean postoperative followup of 48.2 months (range 24 to 60). Results: Patients with preoperative stress urinary incontinence alone were more likely to be dry than were patients with preoperative mixed incontinence (67% versus 36%, p <0.001). Ten patients (27%) reported stress urinary incontinence recurrence. Of the patients 23 (62.2%) reported urgency symptoms at followup, with de nero urgency occurring in 4 patients. Permanent retention was noted in 3 patients, including 2 with sacral arc denervation. Overall patients reported 86% postoperative improvement in urinary continence, and 81% would recommend the operation. Conclusions: At mean 4-year followup after pubovaginal sling surgery, this outcome study using a self- administered questionnaire confirms high patient satisfaction despite significant postoperative urgency symptoms.
Original language | English (US) |
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Pages (from-to) | 1738-1741 |
Number of pages | 4 |
Journal | Journal of Urology |
Volume | 158 |
Issue number | 5 |
DOIs | |
State | Published - Nov 1997 |
Keywords
- Bladder
- Bladder neck obstruction
- Questionnaires
- Urinary incontinence
ASJC Scopus subject areas
- Urology