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Irritative symptoms are the main predictor of satisfaction rate in women after transobturator tape procedures

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Abstract

Introduction and hypothesis

A study was performed to assess the satisfaction rate (SR) after transobturator procedures in pad negative women.

Methods

All patients were asked to complete Urogenital Distress Inventory (UDI) questionnaire. SR after the procedure was estimated by means of VAS scale. Two groups were formed (group 0, 100% SR; group 1, <100% SR) and compared by means of Student t test and Chi-square test. Predictors of SR were tested by linear regression model.

Results

Data was available for 168 women. The mean follow-up was 18.4 weeks, a negative pad test was observed in 153 patients (91.1%). Less than 100% SR was observed in 83 (54.2%) women with negative pad test. SR was significantly predicted by total UDI and irritative UDI score after surgery (p < 0.001), the later bearing also greatest negative impact on QoL (p < 0.001).

Conclusions

Irritative symptoms are the main reason for dissatisfaction of patients with surgical outcome.

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Abbreviations

CR:

Continence rate

IIQ:

Incontinence Impact Questionnaire

MUI:

Mixed urinary incontinence

QoL:

Quality of life

SUI:

Stress urinary incontinence

SR:

Satisfaction rate

TOT:

Transobturator tape

UDI:

Urogenital Distress Inventory

References

  1. Hunskaar S, Lose G, Sykes D, Voss S (2004) The prevalence of urinary incontinence in women in four European countries. BJU Int 93:324–330

    Article  PubMed  CAS  Google Scholar 

  2. Abrams P, Cardozo L, Fall M et al (2002) The standardization of terminology of lower urinary tract function: report from the standardization sub-committee of the International Continence Society. Neurourol Urodyn 21:167–178

    Article  PubMed  Google Scholar 

  3. Laurikainen E, Valpas A, Kivela A, Kalliola T, Rinne K, Takala T et al (2007) Retropubic compared with transobturator tape placement in treatment of urinary incontinence: a randomized controlled study. Obstet Gynecol 109:4–11

    PubMed  Google Scholar 

  4. Zullo MA, Plotti F, Calcagno M, Marullo E, Palaia I, Pellati F et al (2007) One-year follow-up of tension-free vaginal tape (TVT) and transobturator suburethral tape from inside to outside (TVT-O) for surgical treatment of female stress incontinence: a prospective randomized trial. Eur Urol 51:1376–1382

    Article  PubMed  Google Scholar 

  5. Debodinance P (2006) Trans-obturator urethral sling for surgical correction of female stress urinary incontinence: outside–in (Monarc) versus inside–out (TVT-O). Are both ways safe? J Gynecol Obstet Biol Reprod 35:571–577

    CAS  Google Scholar 

  6. Shumaker SA, Wyman JF, Uebersax JS, McClish D, Fantl JA (1994) Health-related quality of life measures for women urinary incontinence: the Incontinence Impact Questionnaire and the Urogenital Distress Inventory. Qual Life Res 3:291–306

    Article  PubMed  CAS  Google Scholar 

  7. Deutch V, Boillot B, Michel A, Monod P, Pons JC et al (2006) Are there any factors predicting failure or complications rates of trans-obturator surgery for stress urinary incontinence. Gynecol Obstet Fertil 34:1118–1125

    Article  Google Scholar 

  8. Cetinel B, Demirkesen O, Onal B, Akkus E, Alan C, Can G (2004) Are there any factors predicting the cure and complication rates of tension-free vaginal tape? Int Urogynecol J Pelvic Floor Dysfunct 15:188–193

    Article  PubMed  Google Scholar 

  9. Lee KS, Choo MS, Doo CK, Han DH, Lee YS, Kim JY et al (2008) The long term (5-years) objective TVT success rate does not depend on predictive factors at multivariate analysis: a multicentre retrospective study. Eur Urol 53:1761–1782

    Article  Google Scholar 

  10. Richter HE, Diokno A, Kenton K, Norton P, Albo M, Kraus S et al (2008) Urinary Incontinence Treatment Network. Predictors of treatment failure 24 months after surgery for stress urinary incontinence. J Urol 179:1024–1030

    Article  PubMed  Google Scholar 

  11. Kulseng-Hanssen S, Husby H, Schiotz HA (2007) The tension free vaginal tape operation for women with mixed incontinence: do preoperative variables predict the outcome? Neurourol Urodyn 26:115–121

    Article  PubMed  Google Scholar 

  12. Botros SM, Abramov Y, Goldberg RP, Beaumont JL, Gandhi S, Miller JJ et al (2005) Detrusor overactivity and urge urinary incontinence [corrected] following midurethral versus bladder sling procedures. Am J Obstet Gynecol 193:2144–2148

    Article  PubMed  Google Scholar 

  13. Choe JH, Choo MS, Lee KS (2008) The impact of tension-free vaginal tape on overactive bladder symptoms in women with stress urinary incontinence: significance of detrusor overactivity. J Urol 179:214–219

    Article  PubMed  Google Scholar 

  14. Lim J, Cornish A, Carey MP (2006) Clinical and quality-of-life outcomes in women treated by the TVT-O procedure. BJOG 113:1315–1320

    Article  PubMed  CAS  Google Scholar 

  15. Botros SM, Miller JJ, Goldberg RP, Gandhi S, Aki M, Beaumont JL et al (2006) Detrusor overactivity and urge urinary incontinence following trans obturator versus midurethral slings. Neurourol Urodyn 26:42–45

    Article  Google Scholar 

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Conflicts of interest

None.

Disclaimers

This study was not sponsored by industry.

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Authors and Affiliations

  1. Department of General Gynecology and Gynecologic Urology, University Clinical Centre Maribor, Ljubljanska 5, 2000, Maribor, Slovenia

    Igor But & Maja Pakiz

  2. Health Institute FB Maribor, Gosposvetska ulica 41a, 2000, Maribor, Slovenia

    Igor But

  3. Gynecology and Perinatology Clinic Maribor, University Clinical Centre Maribor, Ljubljanska 5, 2000, Maribor, Slovenia

    Igor But

Authors
  1. Igor But
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  2. Maja Pakiz
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Correspondence to Igor But.

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But, I., Pakiz, M. Irritative symptoms are the main predictor of satisfaction rate in women after transobturator tape procedures. Int Urogynecol J 20, 791–796 (2009). https://doi.org/10.1007/s00192-009-0868-z

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  • DOI: https://doi.org/10.1007/s00192-009-0868-z

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