Quality of life after surgery for stress incontinence |
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| Authors: | S. L. Tennstedt H. J. Litman P. Zimmern C. Ghetti J. W. Kusek C. W. Nager E. R. Mueller S. R. Kraus E. Varner for the Urinary Incontinence Treatment Network |
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| Affiliation: | (1) New England Research Institutes, 9 Galen Street, Watertown, MA 02472, USA;(2) University of Texas Southwestern Medical Center, Dallas, TX, USA;(3) Magee Women’s Hospital, University of Pittsburgh, Pittsburgh, PA, USA;(4) National Institute of Diabetes and Digestive and Kidney Diseases, NIH, Bethesda, MD, USA;(5) University of California at San Diego Medical Center, San Diego, CA, USA;(6) Loyola University Medical Center, Maywood, IL, USA;(7) University of Texas Health Sciences Center, San Antonio, TX, USA;(8) University of Alabama at Birmingham, Birmingham, AL, USA |
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| Abstract: | This study investigated changes in condition-specific quality of life (QOL) after surgery for stress urinary incontinence. Data from 655 women in a clinical trial comparing the Burch and fascial sling were examined. Improvement in QOL, measured with the Incontinence Impact Questionnaire (mean decrease 133.1; SD 109.8), was observed 6 months after surgery and persisted at 24 months. Women for whom surgery was successful (regardless of surgery type) had greater improvement in QOL (mean decrease 160.0; SD 103.9) than did women for whom surgery was not successful (mean decrease 113.6; SD 110.9; p < 0.0001), although not statistically significant after adjusting for covariates. Multivariable analysis showed that QOL improvement was related to decreased urinary incontinence (UI) symptom bother, greater improvement in UI severity, younger age, Hispanic ethnicity, and receiving Burch surgery. Among sexually active women, worsening sexual function had a negative impact on QOL. Improved QOL was explained most by UI symptom improvement. |
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| Keywords: | Quality of life Surgery Urinary incontinence |
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