Irritative symptoms are the main predictor of satisfaction rate in women after transobturator tape procedures

Int Urogynecol J Pelvic Floor Dysfunct. 2009 Jul;20(7):791-6. doi: 10.1007/s00192-009-0868-z. Epub 2009 Apr 1.

Abstract

Introduction and hypothesis: A study was performed to assess the satisfaction rate (SR) after transobturator procedures in pad negative women.

Methods: All patients were asked to complete Urogenital Distress Inventory (UDI) questionnaire. SR after the procedure was estimated by means of VAS scale. Two groups were formed (group 0, 100% SR; group 1, <100% SR) and compared by means of Student t test and Chi-square test. Predictors of SR were tested by linear regression model.

Results: Data was available for 168 women. The mean follow-up was 18.4 weeks, a negative pad test was observed in 153 patients (91.1%). Less than 100% SR was observed in 83 (54.2%) women with negative pad test. SR was significantly predicted by total UDI and irritative UDI score after surgery (p < 0.001), the later bearing also greatest negative impact on QoL (p < 0.001).

Conclusions: Irritative symptoms are the main reason for dissatisfaction of patients with surgical outcome.

MeSH terms

  • Adult
  • Female
  • Follow-Up Studies
  • Gynecologic Surgical Procedures / adverse effects*
  • Gynecologic Surgical Procedures / methods
  • Health Surveys
  • Humans
  • Linear Models
  • Middle Aged
  • Nocturia / etiology*
  • Patient Satisfaction*
  • Predictive Value of Tests
  • Suburethral Slings / adverse effects*
  • Treatment Outcome
  • Urinary Incontinence, Stress / surgery*
  • Urinary Incontinence, Urge / etiology*