Prevalence of urinary urgency symptoms decreases by mid-urethral sling procedures for treatment of stress incontinence.

Abstract:

INTRODUCTION AND HYPOTHESIS:Conflicting opinions on the effect of incontinence surgery on the prevalence of postoperative urgency symptoms exists. Our aim was to evaluate the prevalence of urgency symptoms preoperatively and during 3-year of follow-up in women undergoing mid-urethral sling procedures for stress incontinence. METHODS:Two hundred and sixty-seven women were randomly assigned to a retropubic or a transobturator operation. Detrusor instability score (DIS) and Urogenital Distress Inventory-6 (UDI-6) questionnaires were used to assess prevalence of urgency symptoms. The Incontinence Impact Questionnaire-7, visual analog scale, urinary incontinence severity score, and the EuroQol-5D assessed overall quality of life changes. RESULTS:A significant decrease in the DIS and UDI-6 score was seen postoperatively. Signs of de novo urgency symptoms were low. CONCLUSIONS:Mid-urethral sling procedures can be recommended in cases of mixed incontinence, and the procedures seems to decrease prevalence of urgency symptoms.

journal_name

Int Urogynecol J

authors

Palva K,Nilsson CG

doi

10.1007/s00192-011-1511-3

subject

Has Abstract

pub_date

2011-10-01 00:00:00

pages

1241-7

issue

10

eissn

0937-3462

issn

1433-3023

journal_volume

22

pub_type

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