Karin Glavind1, Jonna Bjørk2, Sabrina Kousgaard2. 1. Department of Obstetrics and Gynecology, Aalborg University Hospital, Reberbansgade, 9000, Aalborg, Denmark. glavind@dadlnet.dk. 2. Department of Obstetrics and Gynecology, Aalborg University Hospital, Reberbansgade, 9000, Aalborg, Denmark.
Abstract
INTRODUCTION AND HYPOTHESIS: The aim of this study was to investigate patient-reported goals after a tension-free vaginal tape operation for stress urinary incontinence and the correlation with postoperative incontinence. METHODS: A prospective study involving 70 women was carried out. Preoperatively, patients completed the International Consultation on Incontinence Questionnaire Urinary Incontinence Short Form (ICIQ-UI SF) and stated three goals for the operation. A telephone interview was performed 3 months postoperatively. RESULTS: A Visual Analogue Scale (VAS) score from zero to ten estimated the extent to which goals were achieved. Goals were divided into five groups: 1, symptoms; 2, quality of life (physical); 3, quality of life (emotional); 4, sexual function; 5, avoidance. ICIQ-UI SF preoperative mean was 14.9 and postoperative mean was 1.5 (p < 0.05). A total of 210 goals were stated. The majority of the goals (38 %) were in group 2 concerning quality of life in the physical domains. Mean VAS score for all goals was 9.1 (SD 2). Thirty-seven patients (53 %) fulfilled all their goals. Twenty-one patients (30 %) did not have a VAS score of 10, although continent with an ICIQ-UI SF score of zero. Reasons for not achieving a full VAS score were that some still used pads out of fear (n = 10), that their mental focus was still on incontinence (n = 7) or that they had not yet tried some of the physical aims (n = 7). CONCLUSIONS: Most patients achieved their goals. The majority of the goals concerned quality of life in the physical domains.
INTRODUCTION AND HYPOTHESIS: The aim of this study was to investigate patient-reported goals after a tension-free vaginal tape operation for stress urinary incontinence and the correlation with postoperative incontinence. METHODS: A prospective study involving 70 women was carried out. Preoperatively, patients completed the International Consultation on Incontinence Questionnaire Urinary Incontinence Short Form (ICIQ-UI SF) and stated three goals for the operation. A telephone interview was performed 3 months postoperatively. RESULTS: A Visual Analogue Scale (VAS) score from zero to ten estimated the extent to which goals were achieved. Goals were divided into five groups: 1, symptoms; 2, quality of life (physical); 3, quality of life (emotional); 4, sexual function; 5, avoidance. ICIQ-UI SF preoperative mean was 14.9 and postoperative mean was 1.5 (p < 0.05). A total of 210 goals were stated. The majority of the goals (38 %) were in group 2 concerning quality of life in the physical domains. Mean VAS score for all goals was 9.1 (SD 2). Thirty-seven patients (53 %) fulfilled all their goals. Twenty-one patients (30 %) did not have a VAS score of 10, although continent with an ICIQ-UI SF score of zero. Reasons for not achieving a full VAS score were that some still used pads out of fear (n = 10), that their mental focus was still on incontinence (n = 7) or that they had not yet tried some of the physical aims (n = 7). CONCLUSIONS: Most patients achieved their goals. The majority of the goals concerned quality of life in the physical domains.
Authors: Viktor E Bovbjerg; Elisa R Trowbridge; Matthew D Barber; Tovia E Martirosian; William D Steers; Kathie L Hullfish Journal: Am J Obstet Gynecol Date: 2009-02-23 Impact factor: 8.661
Authors: Bernard T Haylen; Dirk de Ridder; Robert M Freeman; Steven E Swift; Bary Berghmans; Joseph Lee; Ash Monga; Eckhard Petri; Diaa E Rizk; Peter K Sand; Gabriel N Schaer Journal: Int Urogynecol J Date: 2009-11-25 Impact factor: 2.894
Authors: Lior Lowenstein; Mary P FitzGerald; Kimberly Kenton; Yashika Dooley; Mike Templehof; Elizabeth R Mueller; Linda Brubaker Journal: Int Urogynecol J Pelvic Floor Dysfunct Date: 2007-05-12
Authors: Eman A Elkadry; Kimberly S Kenton; Mary P FitzGerald; Susan Shott; Linda Brubaker Journal: Am J Obstet Gynecol Date: 2003-12 Impact factor: 8.661
Authors: Fenne M Casteleijn; Sandra E Zwolsman; Claudia R Kowalik; Jan-Paul P W R Roovers Journal: Int Urogynecol J Date: 2018-04-19 Impact factor: 2.894