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Prospective analysis of patients treated with a distal urethral polypropylene sling for symptoms of stress urinary incontinence: surgical outcome and satisfaction determined by patient driven questionnaires.
J Urol. 2003 Sep; 170(3):857-63; discussion 863.JU

Abstract

PURPOSE

We evaluated the safety and efficacy of the distal urethral polypropylene sling for stress urinary incontinence using patient self-assessment by questionnaires.

MATERIALS AND METHODS

We performed a prospective study of all consecutive patients who underwent a mid distal urethral sling procedure between November 1999 and February 2002. Surgical outcome was determined by symptom, bother and quality of life questionnaires completed by the patients. The physicians were blinded to patient responses. These outcomes were compared to the SEAPI determined by the physician and to physical examination findings.

RESULTS

There were 301 patients, of whom 2.3% required treatment for persistent stress urinary incontinence (SUI) after the polypropylene sling procedure. In the 92 patients with a minimum followup of 12 months the objective cure rate was 92%. The patient determined subjective success rate (cure and improved greater than 50%) was 89%. On questionnaires only 69% of the patients reported no symptoms of SUI under any circumstance and the same number reported never being bothered by SUI. The physician determined SEAPI overestimated patient self-reported symptoms by 10% to 50% depending on the symptom.

CONCLUSIONS

The polypropylene sling represents an inexpensive, safe and simple alternative treatment for patients with stress urinary incontinence. The procedure provides high objective and physician determined cure rates but a lower patient self-reported subjective cure rate. Patient self-assessment of symptoms, bother and quality of life should be an integral part of the outcome of stress urinary incontinence surgery.

Authors+Show Affiliations

Department of Urology, School of Medicine, University of California-Los Angeles, 924 Westwood Boulevard, Suite 520, Los Angeles, CA 90024, USA.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

12913716

Citation

Rodríguez, Larissa V., and Shlomo Raz. "Prospective Analysis of Patients Treated With a Distal Urethral Polypropylene Sling for Symptoms of Stress Urinary Incontinence: Surgical Outcome and Satisfaction Determined By Patient Driven Questionnaires." The Journal of Urology, vol. 170, no. 3, 2003, pp. 857-63; discussion 863.
Rodríguez LV, Raz S. Prospective analysis of patients treated with a distal urethral polypropylene sling for symptoms of stress urinary incontinence: surgical outcome and satisfaction determined by patient driven questionnaires. J Urol. 2003;170(3):857-63; discussion 863.
Rodríguez, L. V., & Raz, S. (2003). Prospective analysis of patients treated with a distal urethral polypropylene sling for symptoms of stress urinary incontinence: surgical outcome and satisfaction determined by patient driven questionnaires. The Journal of Urology, 170(3), 857-63; discussion 863.
Rodríguez LV, Raz S. Prospective Analysis of Patients Treated With a Distal Urethral Polypropylene Sling for Symptoms of Stress Urinary Incontinence: Surgical Outcome and Satisfaction Determined By Patient Driven Questionnaires. J Urol. 2003;170(3):857-63; discussion 863. PubMed PMID: 12913716.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Prospective analysis of patients treated with a distal urethral polypropylene sling for symptoms of stress urinary incontinence: surgical outcome and satisfaction determined by patient driven questionnaires. AU - Rodríguez,Larissa V, AU - Raz,Shlomo, PY - 2003/8/13/pubmed PY - 2003/9/27/medline PY - 2003/8/13/entrez SP - 857-63; discussion 863 JF - The Journal of urology JO - J Urol VL - 170 IS - 3 N2 - PURPOSE: We evaluated the safety and efficacy of the distal urethral polypropylene sling for stress urinary incontinence using patient self-assessment by questionnaires. MATERIALS AND METHODS: We performed a prospective study of all consecutive patients who underwent a mid distal urethral sling procedure between November 1999 and February 2002. Surgical outcome was determined by symptom, bother and quality of life questionnaires completed by the patients. The physicians were blinded to patient responses. These outcomes were compared to the SEAPI determined by the physician and to physical examination findings. RESULTS: There were 301 patients, of whom 2.3% required treatment for persistent stress urinary incontinence (SUI) after the polypropylene sling procedure. In the 92 patients with a minimum followup of 12 months the objective cure rate was 92%. The patient determined subjective success rate (cure and improved greater than 50%) was 89%. On questionnaires only 69% of the patients reported no symptoms of SUI under any circumstance and the same number reported never being bothered by SUI. The physician determined SEAPI overestimated patient self-reported symptoms by 10% to 50% depending on the symptom. CONCLUSIONS: The polypropylene sling represents an inexpensive, safe and simple alternative treatment for patients with stress urinary incontinence. The procedure provides high objective and physician determined cure rates but a lower patient self-reported subjective cure rate. Patient self-assessment of symptoms, bother and quality of life should be an integral part of the outcome of stress urinary incontinence surgery. SN - 0022-5347 UR - https://www.unboundmedicine.com/medline/citation/12913716/Prospective_analysis_of_patients_treated_with_a_distal_urethral_polypropylene_sling_for_symptoms_of_stress_urinary_incontinence:_surgical_outcome_and_satisfaction_determined_by_patient_driven_questionnaires_ L2 - https://www.jurology.com/doi/10.1097/01.ju.0000083327.26420.99?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -