Effects of the transobturator tape procedure on overactive bladder symptoms and quality of life: a prospective study

Autor: Ertuğrul Şefik, Tarik Yonguc, Salih Polat, Serkan Yarimoglu, T. Degirmenci, Ibrahim Halil Bozkurt
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Adult
medicine.medical_specialty
Time Factors
Urology
Urinary Incontinence
Stress
030232 urology & nephrology
Urinary incontinence
Statistics
Nonparametric
03 medical and health sciences
Young Adult
0302 clinical medicine
Patient satisfaction
Quality of life
Internal medicine
Surveys and Questionnaires
medicine
Humans
Patient Reported Outcome Measures
Postoperative Period
Prospective Studies
Prospective cohort study
Pelvic examination
Aged
Anamnesis
Suburethral Slings
Analysis of Variance
medicine.diagnostic_test
business.industry
Urinary Bladder
Overactive
Gold standard
Urinary Incontinence
Urge
Middle Aged
medicine.disease
Diseases of the genitourinary system. Urology
Urinary Incontinence
Treatment Outcome
Overactive bladder
Patient Satisfaction
030220 oncology & carcinogenesis
Preoperative Period
Quality of Life
Original Article
Female
RC870-923
medicine.symptom
business
Follow-Up Studies
Zdroj: International Brazilian Journal of Urology : official journal of the Brazilian Society of Urology
International braz j urol v.45 n.6 2019
International Braz J Urol
Sociedade Brasileira de Urologia (SBU)
instacron:SBU
International Brazilian Journal of Urology, Vol 45, Iss 6, Pp 1186-1195 (2019)
ISSN: 1677-6119
1677-5538
Popis: Introduction: This study aimed to evaluate the effects of transobturator tape (TOT) on overactive bladder (OAB) symptoms and quality of life. Materials and Methods: Patients with stress-predominant mixed urinary incontinence (MUI) who had undergone TOT procedures were considered candidates for this research. Preoperative assessment included anamnesis, pelvic examination, cough stress test (CST), and validated symptom severity and quality of life (QoL) questionnaires. The primary outcome, improvement and cure rates of OAB symptoms were determined based on the patient's baseline scores in symptom-related questions in OAB-V8. Secondary outcomes included the success rates of SUI, changes in the QoL score and patient satisfaction rates. Results: A total of 104 patients were included in the study. Sixty-two patients underwent TOT placement alone, and 42 patients underwent TOT placement along with prolapse surgery. The mean follow-up period of the patients was 30.47 months range: 13-52 months. At the first-year follow-up, 52 patients (50.0%) and 59 patients (56.7%) reported cure in preoperative urgency and urgency incontinence, respectively. The objective and subjective cure rates were 96.2% and 56.7%, respectively. A total of 80.7% of the cases had a 15-point improvement in QoL scores. Conclusions: MUS is not only a gold standard treatment in SUI but also presents as a promising treatment modality in stress-dominant MUI. Although the improvement rates of OAB symptoms significantly decrease over time, QoL and patient satisfaction rates remain higher than any other treatment in this patient group at the third-year follow-up.
Databáze: OpenAIRE
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