Long-term patient satisfaction following cadaveric pubovaginal sling incontinence surgery using the UDI and IIQ-7 questionnaires

Surgical correction of female urinary incontinence: comparison of colporrhaphy, sling and suspension procedures

OBJECTIVE

To analyse clinical outcomes of three types of pelvic surgery for the correction of female mixed or stress urinary incontinence.

METHODS

Women who underwent surgery for urinary incontinence between January 2000 and June 2010 were included in the study (n = 268). Patients were nonrandomly assigned to undergo colporrhaphy, suspension procedure or sling procedure according to their clinical situation. Perioperative parameters were recorded. Short- (< 5 years) and long-term (5-10 years) success rates were determined for each group.

RESULTS

The short- and long-term complete cure rates were significantly lower, and the duration of catheterization significantly longer, in patients who underwent colporrhaphy compared with both other groups, but there were no significant differences between suspension or sling procedures.

CONCLUSION

Sling and suspension procedures were equally effective in this study, and both were preferable to colporrhaphy.

Quality of life after SPARC sling procedure: a long-term retrospective analysis

INTRODUCTION

To asses the effects on quality of life (QoL) in women with stress urinary incontinence after a SPARC sling procedure.

METHODS

This is a long-term retrospective study. The study cohort consisted of 54 women: 46 were available for follow-up examination and 8 were contacted by telephone.

RESULTS

The median follow-up was 5.3 years. The QoL assessed by using a visual analogue scale improved significantly from 6.9 at baseline to 2.8. The IIQ-7 (Incontinence Impact Questionnaire-Short Form) general score decreased from an average of 56.7 at baseline to 17.5 at the follow-up investigation. Using the Patient Global Impression of Improvement questionnaire, 57.4% of women characterized themselves as very much better, 20.4% as much better and 11.1% as a little better. Eighty-seven percent of women regarded themselves as satisfied, but 13% were dissatisfied with the outcome of the SPARC sling procedure.

CONCLUSION

In this study a significant and stable long-term improvement in QoL could be observed in women undergoing SPARC sling procedure.