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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Patient satisfaction after midurethral sling surgery for stress urinary incontinence
Obstetrics and Gynecology, Volume 121, No. 5, Year 2013
Notification
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Description
OBJECTIVE: To identify factors that may contribute to patient satisfaction with outcome in women who received retropubic and transobturator midurethral slings. METHODS: Satisfaction was assessed 12 months postsurgery as a planned analysis in 597 participants from a multicenter randomized trial comparing retropubic with transobturator midurethral slings using the Incontinence Surgery Satisfaction Questionnaire. Significantly related variables associated with satisfaction in univariable analyses were entered into multivariable logistic regression models to test their independent association with satisfaction. RESULTS: One year after surgery, 264 (88.6%) in the retropubic group and 263 (88.0%) in the transobturator group completed satisfaction questionnaires. Both treatment groups demonstrated a high level of satisfaction with respect to urine leakage (retropubic 85.9% compared with transobturator 90.0%; P=.52), urgency to urinate, frequency of urination, capability of physical activity, social activity, ability to engage in sexual activity, and from an emotional standpoint. Baseline characteristics associated with reduced satisfaction were higher Medical, Epidemiologic, and Social Aspects of Aging Questionnaire urgency subscale scores, detrusor overactivity, and diabetes mellitus. The severity of both objective (frequency of incontinence episodes, pad test weight) and subjective (Incontinence Impact Questionnaire and Urogenital Distress Inventory score) measures of incontinence at baseline and the patients' perceptions of preoperative severity of incontinence and expectations of achieving postoperative cure or improvement were not statistically different between satisfied and unsatisfied patients. In the final multivariable model, satisfaction was associated with overall treatment success (odds ratio [OR] 2.57, 95% confidence interval [CI] 1.29-5.13], greater reduction in Urogenital Distress Inventory (OR 0.97, 95% CI 0.96-0.98) and Incontinence Impact Questionnaire scores (OR 0.99, 95% CI 0.98-0.99), and fewer complications (OR 0.55, 95% CI 0.30-0.99). CONCLUSION: The high level of satisfaction seen after midurethral sling procedures is associated with greater objective and patient-perceived improvement of stress incontinence and fewer complications. © 2013 by The American College of Obstetricians and Gynecologists.
Authors & Co-Authors
Zyczynski, Halina M.
Unknown Affiliation
Stoddard, Anne M.
Unknown Affiliation
Burgio, Kathryn Larsen
Unknown Affiliation
Brubaker, Linda T.
Unknown Affiliation
Menefee, Shawn Adam
Unknown Affiliation
Sirls, Larry Thomas
Unknown Affiliation
Khandwala, Salil
Unknown Affiliation
Kenton, Kimberly S.
Unknown Affiliation
Richter, Holly Elizabeth
Unknown Affiliation
Albo, Michael Edward
Unknown Affiliation
Nager, Charles W.
Unknown Affiliation
Chai, Toby C.
Unknown Affiliation
Johnson, Harry W.
Unknown Affiliation
Leng, Wendy W.
Unknown Affiliation
Zimmern, Philippe E.
Unknown Affiliation
Lemack, Gary E.
Unknown Affiliation
Kraus, Stephen R.
Unknown Affiliation
Rozanski, Thomas A.
Unknown Affiliation
Norton, Peggy A.
Unknown Affiliation
Nygaard, Ingrid Elisabeth
Unknown Affiliation
Tennstedt, Sharon L.
Unknown Affiliation
Chang, Debuene
Unknown Affiliation
Arisco, Amy M.
Unknown Affiliation
Baker, Jan E.
Unknown Affiliation
Borello-France, Diane F.
Unknown Affiliation
Diokno, Ananias C.
Unknown Affiliation
FitzGerald, Mary Pat
Unknown Affiliation
Ghetti, Chiara C.
Unknown Affiliation
Goode, Patricia S.
Unknown Affiliation
Holley, Robert L.
Unknown Affiliation
Kahn, Margie A.
Unknown Affiliation
Lowder, Jerry L.
Unknown Affiliation
Luber, Karl M.
Unknown Affiliation
Markland, Alayne D.
Unknown Affiliation
Moalli, Pamela A.
Unknown Affiliation
Mueller, Elizabeth Rose
Unknown Affiliation
Sagan, Elizabeth R.
Unknown Affiliation
Schaffer, Joseph I.
Unknown Affiliation
Starr, Robert
Unknown Affiliation
Sutkin, Gary
Unknown Affiliation
Burr, Laura
Unknown Affiliation
Columbo, Jesse A.
Unknown Affiliation
Dickinson, Tamara
Unknown Affiliation
Dinh, Rosanna
Unknown Affiliation
Gruss, Judy A.
Unknown Affiliation
Howell, Alice
Unknown Affiliation
Jayachandran, Chaandini J.
Unknown Affiliation
Jesse, Kathy
Unknown Affiliation
Leemon, Barbara
Unknown Affiliation
Mislanovich, Karen
Unknown Affiliation
Moore, Elva Kelly
Unknown Affiliation
Prather, Caren
Unknown Affiliation
Tulke, Mary
Unknown Affiliation
Willingham, Robin
Unknown Affiliation
Woodson, Kimberly
Unknown Affiliation
Zazueta-Damian, Gisselle
Unknown Affiliation
Dandreo, Kimberly J.
Unknown Affiliation
Huang, Liyuan
Unknown Affiliation
Kowalski, Rose
Unknown Affiliation
Litman, Heather J.
Unknown Affiliation
Mihova, Marina S.
Unknown Affiliation
Tanwar, Kerry L.
Unknown Affiliation
Tennstedt, Sharon L.
Unknown Affiliation
Xu, Yan
Unknown Affiliation
Clemens, James Quentin
Unknown Affiliation
Abrams, Paul H.
Unknown Affiliation
Bland, Deirdre R.
Unknown Affiliation
Boone, Timothy B.
Unknown Affiliation
Connett, John E.
Unknown Affiliation
Fenner, Dee E.
Unknown Affiliation
Henderson, William G.
Unknown Affiliation
Kelsey, Sheryl F.
Unknown Affiliation
Lightner, Deborah J.
Unknown Affiliation
Myers, Deborah L.
Unknown Affiliation
Wadie, Bassem
Unknown Affiliation
Statistics
Citations: 25
Authors: 75
Identifiers
Doi:
10.1097/AOG.0b013e31828ca49e
ISSN:
00297844
Research Areas
Health System And Policy
Noncommunicable Diseases
Sexual And Reproductive Health
Study Design
Case-Control Study
Participants Gender
Female