Results of pubovaginal sling for the treatment of intrinsic sphincteric deficiency determined by questionnaire analysis

François Haab, Brett A. Trockman, Philippe E. Zimmern, Gary E. Leach

Research output: Contribution to journalArticlepeer-review

95 Scopus citations

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 languageEnglish (US)
Pages (from-to)1738-1741
Number of pages4
JournalJournal of Urology
Volume158
Issue number5
DOIs
StatePublished - Nov 1997

Keywords

  • Bladder
  • Bladder neck obstruction
  • Questionnaires
  • Urinary incontinence

ASJC Scopus subject areas

  • Urology

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