Minimum 2-year follow-up of mid-urethral slings, effect on quality of life, incontinence impact and sexual function

Bassem S. Wadie, Ahmed Mansour, Ahmed S. El-Hefnawy, Adel Nabeeh, Albair A. Khair

Research output: Contribution to journalArticle

16 Scopus citations

Abstract

Introduction and hypothesis: In this study, the impact of mid-urethral slings (MUS) on incontinence-related distress, quality of life and sexual function is assessed at a minimum 2 years. Methods: Patients received either a pubovaginal sling (PVS) or a tension-free vaginal tape (TVT). The Arabic translation of urogenital distress inventory (UDI)-6, incontinence impact questionnaire (IIQ)-7, and short form Female Sexual Function Index (FSFI) were administered at baseline and 24 months. Results: Sixty three women with a mean age of 47.8 years were included in this study. A median follow-up was done after 54∈±∈21.9 months. Thirty nine women had PVS while 24 had TVT. Cure was defined as a significant decrease in UDI-6 and a negative stress test at 200 ml, which was found to be 93.65% and 95.2%, respectively. Overall, UDI-6 decreased from a mean preoperative value of 68.1∈±∈16.9 to 27.6∈±∈18.3 (p∈<∈0.0001). IIQ-7 decreased from 70∈±∈19 to 24∈±∈20.8(p∈<∈0.0001). The difference between pre- and postoperative values was insignificant. Conclusion: An MUS gives a cure rate of over 93% at a median follow-up of 54 months. A significant decline in UDI-6 and IIQ-7 is evident after surgery. Sexual function, as measured by the FSFI, was not significantly affected.

Original languageEnglish (US)
Pages (from-to)1485-1490
Number of pages6
JournalInternational Urogynecology Journal
Volume21
Issue number12
DOIs
StatePublished - Dec 2010
Externally publishedYes

Keywords

  • Long-term
  • PVS
  • Stress incontinence
  • TVT

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Urology

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