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- Title
Mid-term patient QoL after tot surgery for mixed type urinary incontinence.
- Authors
KÖSEOĞLU, Hikmet; ARI, Emre; ARACI, Muhammet Hilmi Enes
- Abstract
Objectives: The objective of this study is to determine patients' satisfaction and quality of life after trans-obturator tape surgery in the setting of mixed urinary incontinence with stress urinary incontinence dominance. Materials and Methods: The patients who had undergone surgery of trans-obturator tape within last 5 years in our clinic were included. All patients had urodynamic evaluations preoperatively. We used incontinence impact questionnare-7 and urogenital distress inventory-6 questionnary forms. Patients were only asked for one-word comment on their satisfaction with the operation: "Satisfied" or "unsatisfied". Also we used visual analog scale 0 to 10 for their satisfaction (happy or unhappy) for trans-obturator tape operation. Results: Thirty-three women included in our study. Median follow-up was 35 months. 6% of them had early postvoiding residual volume of 50 to 100 mL. None reported to have stress urinary incontinence as preoperatively during follow-up. 60% of them were happy/satisfied for having trans-obturator tape operation. This group's median visual analog scale score was 10.40% of them were unhappy/unsatisfied for having transobturator tape operation. This group's median visual analog scale score was one. Conclusion: Unsatisfied rate is high for trans-obturator tape performed for stress dominant mixed urinary incontinence, though successful surgery. This might be unmet preoperative over-expectations of patients like being dry with surgery for all components mixed urinary incontinence or failure of surgeons to inform well about the surgical outcomes.
- Subjects
QUALITY of life; MIDTERM examinations; PATIENT satisfaction; OPERATIVE surgery; HEALTH outcome assessment
- Publication
Pelviperineology, 2023, Vol 42, Issue 1, p1
- ISSN
1973-4905
- Publication type
Article
- DOI
10.34057/PPj.2023.42.01.2022-4-2