Impact of Transobturator Tape Procedure on Quality of Life in Female Stress Urinary Incontinence
Introduction: Stress Urinary Incontinence (SUI) is a highly prevalent condition in women. This condition is often associated with negative body image and reduced quality of life. Transobturator midurethral tape surgery is currently the most favored type of management. Several questionnaires are...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Pvt. Ltd.
2017-01-01
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| Series: | International Journal of Anatomy Radiology and Surgery |
| Subjects: | |
| Online Access: | http://www.ijars.net/articles/PDF/2230/24093_CE[VSU]_F(GH)_PF1(VsuGH)_PFA(GH)_PF2(VsuGH).pdf |
| Summary: | Introduction: Stress Urinary Incontinence (SUI) is a
highly prevalent condition in women. This condition is
often associated with negative body image and reduced
quality of life. Transobturator midurethral tape surgery is
currently the most favored type of management. Several
questionnaires are available to assess the impact of this
surgery on quality of life.
Materials and Methods: We studied 32 patients who
underwent Transobturator Tape (TOT) procedure for SUI.
All patients were administered the Norwegian female
incontinence questionnaire for urinary incontinence pre
and post-operatively. We studied only the quality of life
aspects in this questionnaire. Results were analysed using
Wilcoxon paired rank test.
Results: Thirty two patients with a mean age of
45.97±8 years (33-65 years) were studied. The usage of
incontinence pads per week following surgery markedly
reduced from a mean of 3.16 to 0.41. Patients more often
got involved in various social activities following surgery.
The mean score improved from 2.88 to 0.25. In patients
who avoided places and situations without easy availability
of toilet, the mean score improved from 2.97 to 0.28 post
operatively. The negative impact of urinary leakage on the
patients vacation, family life, social life and sleep markedly
reduced from a mean of 2.75 to 1.03 (p-value <0.001).
Conclusion: Almost all patients had significant
improvement in all the domains studied in the quality of life
aspect of Norwegian female incontinence questionnaire
for urinary incontinence. TOT surgery in SUI patients not
only cures the patient of urinary incontinence but also
significantly improves the quality of life |
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| ISSN: | 2277-8543 2455-6874 |