International Urogynecology Journal

, Volume 3, Issue 2, pp 100–103 | Cite as

Patient satisfaction following bladder neck suspension

  • T. H. Phillips
  • E. J. Zeidman
  • I. M. Thompson
  • T. C. Smith
  • M. E. Leggett
Original Article
  • 11 Downloads

Abstract

Stress urinary incontinence is a common problem; 107 women undergoing bladder neck suspension between 1982 and 1989 were reviewed. Seventyfour responded via questionnaire and underwent chart review. Leakage resolved in 83%, with a mean follow-up of 23 months. Sixty-eight per cent were satisfied with the procedure outcome. Preoperative leakage with coughing and work-related activities predicted procedure success, while symptom resolution, number of postoperative pads required, leakage with preoperative coughing and work-related activities predicted patient satisfaction. Postoperative detrusor instability caused the discrepancy between leakage resolution and patient satisfaction. A complication rate of 15.9% was significantly higher in patients who had undergone prior procedures (p<0.001).

Keywords

Quality of life Surgery Urinary incontinence Stress 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Consensus Panel: Urinary incontinence in adults. JAMA 1989; 261:2685–2690Google Scholar
  2. 2.
    Wolen LH. Incontinence in young healthy nulliparous women. J Urol 1969; 101:545–549Google Scholar
  3. 3.
    Blaivas JG. Urinary incontinence: the elderly and the urologist. Contemporary Urology 1990; June:9Google Scholar
  4. 4.
    Stanton SL. Stress incontinence: why and how operations work. Urol Clin North Am 1985; 12:279–84Google Scholar
  5. 5.
    Karram MM, Bhatia NN. Transvaginal needle bladder neck suspension procedures for stress urinary incontinence: a comprehensive review. Obstet Gynecol 1989; 73:906–14Google Scholar
  6. 6.
    Kelly MJ, Nielsen KK, Roskamp DA, Leach GE, Bruskewitz RC. Long-term follow-up of the Raz bladder neck suspension for the correction of female stress urinary incontinence. J Urol 1989; 141(Part 2):424A(Abstract 1038)Google Scholar
  7. 7.
    Phillips TH, Zeidman EJ, Thompson IM, St. Clair SR. Complications following bladder neck suspension. Submitted for publication.Google Scholar
  8. 8.
    Low JA. Management for anatomic urinary incontinence by vaginal repair. Am J Obstet Gynec 1967; 97:308–315Google Scholar
  9. 9.
    Dwyer PL, Lee ETC, Hay DM. Obesity and urinary incontinence in women. Br J Obstet Gynaecol 1988; 95:91–96Google Scholar
  10. 10.
    Walker GT, Texter JH. Relative success and patient satisfaction following Stamey procedure. J Urol 1989; 141(Part 2):424A (Abstract 1038)Google Scholar

Copyright information

© The International Urogynecology Journal 1992

Authors and Affiliations

  • T. H. Phillips
    • 1
  • E. J. Zeidman
    • 2
  • I. M. Thompson
    • 2
  • T. C. Smith
    • 3
  • M. E. Leggett
    • 3
  1. 1.Division of Surgery, Department of UrologyWilford Hall Air Force Medical CenterSan Antonio
  2. 2.Department of Surgery, Urology ServiceWilford Hall Air Force Medical CenterSan Antonio
  3. 3.Baylor University Graduate Program in Health Care AdministrationBrooke Army Medical CenterHoustonUSA

Personalised recommendations