Cadaveric fascia lata sling for stress urinary incontinence: A prospective quality-of-life analysis
| Autor: | Patricia S. Goode, Holly E. Richter, Julie L. Locher, Kathryn L. Burgio, Robert L. Holley, Kate Clark Wright, R. Edward Varner |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Adult
Stress incontinence medicine.medical_specialty Sling (implant) Urinary Incontinence Stress Urinary incontinence Risk Assessment Cohort Studies Patient satisfaction Lower urinary tract symptoms Fascia lata Fascia Lata Cadaver medicine Humans Prospective Studies Prospective cohort study Aged Probability Aged 80 and over business.industry Obstetrics and Gynecology Recovery of Function Middle Aged medicine.disease Tissue Donors Surgery Treatment Outcome medicine.anatomical_structure Patient Satisfaction Quality of Life Urologic Surgical Procedures Female medicine.symptom business Cadaveric spasm |
| Zdroj: | American Journal of Obstetrics and Gynecology. 189:1590-1595 |
| ISSN: | 0002-9378 |
| DOI: | 10.1016/j.ajog.2003.08.016 |
| Popis: | The purpose of this study was to describe the effects of full-length cadaveric fascia lata (CFL) sling on quality-of-life outcomes.Patients were 102 women (aged 29 to 87 years) who underwent the sling procedure for stress incontinence associated with intrinsic sphincter deficiency. They were followed up at 12, 24, 36, and 48 months with the Incontinence Impact Questionnaire (IIQ-7), Urogenital Distress Inventory (UDI-6), and a patient satisfaction questionnaire.Mean IIQ score declined from 55.1 before surgery to 11.0 at 12 months (P.001). Mean UDI score declined from 67.1 to 28.0 at 12 months (P.01). At 12 months, 79.7% of patients reported that leakage was better or much better, and 90.2% reported that they were somewhat or completely satisfied with their progress. Results were maintained throughout the 48-month follow-up period.The CFL sling procedure has an enduring beneficial effect on lower urinary tract symptoms and quality of life. |
| Databáze: | OpenAIRE |
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