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Change in urinary storage symptoms following treatment for female stress urinary incontinence.
Int Urogynecol J. 2016 Aug; 27(8):1169-74.IU

Abstract

INTRODUCTION AND HYPOTHESIS

Sling surgery is common for stress urinary incontinence (SUI). Yet many women have stress-predominant mixed urinary incontinence (MUI). The change in urgency/urge urinary incontinence (U/UUI) following treatment is not well documented. Our aim was to assess changes in U/UUI in women undergoing a sling placement for MUI and correlate this with improvement in quality of life (QOL).

METHODS

This was a retrospective review of women treated for SUI with either an autologous rectus fascia pubovaginal sling (AF-PVS) or synthetic retropubic midurethral sling (MUS). Validated questionnaires-Urogenital Distress Inventory (UDI-6), Incontinence Impact Questionnaire-Short Form (IIQ-7), and visual analog scale (VAS) were obtained pre- and postoperatively. The independent association between change in storage symptoms and subjective cure-as defined by improved overall score on UDI-6, VAS score ≥ 7, or both -were assessed using multivariate logistic regression.

RESULTS

Nine hundred and twenty-seven women were identified for inclusion; 718 (77.5 %) had preoperative MUI, of whom 487 (67.8 %) received an MUS and 231 (32.2 %) an AF-PVS. Similar objective cure rates were noted following MUS vs. AF-PVS (78.2 % vs. 71.9 %, p = 0.315). Subjectively, women treated with MUS experienced greater improvement in U/UUI (72.8 % vs. 57.6 %, p = <0.001) than AF-PVS. Multivariate analysis showed MUS patients were more than twice as likely to show subjective improvement in UDI-6 and VAS scores than the AF-PVS cohort. Postoperatively, validated questionnaires were significantly associated with storage symptom outcome.

CONCLUSIONS

Patients with U/UUI experience significant symptom improvement following treatment for MUI. QoL assessment following surgery is directly correlated with improvement in U/UUI.

Authors+Show Affiliations

Department of Urology, University of Kansas Medical Center, 3901 Rainbow Blvd, Kansas City, KS, 66160, USA. ppadmanabhan@kumc.edu.Department of Urology, University of Kansas Medical Center, 3901 Rainbow Blvd, Kansas City, KS, 66160, USA.Department of Urology, University of Kansas Medical Center, 3901 Rainbow Blvd, Kansas City, KS, 66160, USA.Department of Urology, Louisiana State University Health-Shreveport, 1501 Kings Highway, Shreveport, LA, 71130, USA.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

26797098

Citation

Padmanabhan, Priya, et al. "Change in Urinary Storage Symptoms Following Treatment for Female Stress Urinary Incontinence." International Urogynecology Journal, vol. 27, no. 8, 2016, pp. 1169-74.
Padmanabhan P, Panfili Z, Parker W, et al. Change in urinary storage symptoms following treatment for female stress urinary incontinence. Int Urogynecol J. 2016;27(8):1169-74.
Padmanabhan, P., Panfili, Z., Parker, W., & Gomelsky, A. (2016). Change in urinary storage symptoms following treatment for female stress urinary incontinence. International Urogynecology Journal, 27(8), 1169-74. https://doi.org/10.1007/s00192-016-2951-6
Padmanabhan P, et al. Change in Urinary Storage Symptoms Following Treatment for Female Stress Urinary Incontinence. Int Urogynecol J. 2016;27(8):1169-74. PubMed PMID: 26797098.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Change in urinary storage symptoms following treatment for female stress urinary incontinence. AU - Padmanabhan,Priya, AU - Panfili,Zachary, AU - Parker,William, AU - Gomelsky,Alexander, Y1 - 2016/01/21/ PY - 2015/10/12/received PY - 2016/01/04/accepted PY - 2016/1/23/entrez PY - 2016/1/23/pubmed PY - 2017/8/24/medline KW - Incontinence KW - Midurethral sling KW - Pubovaginal sling KW - Quality of life SP - 1169 EP - 74 JF - International urogynecology journal JO - Int Urogynecol J VL - 27 IS - 8 N2 - INTRODUCTION AND HYPOTHESIS: Sling surgery is common for stress urinary incontinence (SUI). Yet many women have stress-predominant mixed urinary incontinence (MUI). The change in urgency/urge urinary incontinence (U/UUI) following treatment is not well documented. Our aim was to assess changes in U/UUI in women undergoing a sling placement for MUI and correlate this with improvement in quality of life (QOL). METHODS: This was a retrospective review of women treated for SUI with either an autologous rectus fascia pubovaginal sling (AF-PVS) or synthetic retropubic midurethral sling (MUS). Validated questionnaires-Urogenital Distress Inventory (UDI-6), Incontinence Impact Questionnaire-Short Form (IIQ-7), and visual analog scale (VAS) were obtained pre- and postoperatively. The independent association between change in storage symptoms and subjective cure-as defined by improved overall score on UDI-6, VAS score ≥ 7, or both -were assessed using multivariate logistic regression. RESULTS: Nine hundred and twenty-seven women were identified for inclusion; 718 (77.5 %) had preoperative MUI, of whom 487 (67.8 %) received an MUS and 231 (32.2 %) an AF-PVS. Similar objective cure rates were noted following MUS vs. AF-PVS (78.2 % vs. 71.9 %, p = 0.315). Subjectively, women treated with MUS experienced greater improvement in U/UUI (72.8 % vs. 57.6 %, p = <0.001) than AF-PVS. Multivariate analysis showed MUS patients were more than twice as likely to show subjective improvement in UDI-6 and VAS scores than the AF-PVS cohort. Postoperatively, validated questionnaires were significantly associated with storage symptom outcome. CONCLUSIONS: Patients with U/UUI experience significant symptom improvement following treatment for MUI. QoL assessment following surgery is directly correlated with improvement in U/UUI. SN - 1433-3023 UR - https://www.unboundmedicine.com/medline/citation/26797098/Change_in_urinary_storage_symptoms_following_treatment_for_female_stress_urinary_incontinence_ DB - PRIME DP - Unbound Medicine ER -