e-ISSN 1973-4913
Volume : 42 Issue : 3 Year : 2023
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pelviperineology. 2023; 42(1): 1-4 | DOI: 10.34057/PPj.2023.42.01.2022-4-2

Mid-term patient QoL after tot surgery for mixed type urinary incontinence

Hikmet KÖSEOĞLU1, Emre ARI1, Muhammet Hilmi Enes ARACI1
1University of Health Sciences Türkiye Hamidiye Faculty of Medicine, İstanbul Health Practice and Research Center, Department of Urology, İstanbul, Türkiye

Objectives: The objective of this study is to determine patients’ satisfaction and quality of life after trans-obturator tape surgery in the setting of mixed urinary incontinence with stress urinary incontinence dominance. Materials and Methods: The patients who had undergone surgery of trans-obturator tape within last 5 years in our clinic were included. All patients had urodynamic evaluations preoperatively. We used incontinence impact questionnare-7 and urogenital distress inventory-6 questionnary forms. Patients were only asked for one-word comment on their satisfaction with the operation: “Satisfied” or “unsatisfied”. Also we used visual analog scale 0 to 10 for their satisfaction (happy or unhappy) for trans-obturator tape operation. Results: Thirty-three women included in our study. Median follow-up was 35 months. 6% of them had early postvoiding residual volume of 50 to 100 mL. None reported to have stress urinary incontinence as preoperatively during follow-up. 60% of them were happy/satisfied for having trans-obturator tape operation. This group’s median visual analog scale score was 10.40% of them were unhappy/unsatisfied for having transobturator tape operation. This group’s median visual analog scale score was one. Conclusion: Unsatisfied rate is high for trans-obturator tape performed for stress dominant mixed urinary incontinence, though successful surgery. This might be unmet preoperative over-expectations of patients like being dry with surgery for all components mixed urinary incontinence or failure of surgeons to inform well about the surgical outcomes.


Cite This Article

KÖSEOĞLU H, ARI E, ARACI M. Mid-term patient QoL after tot surgery for mixed type urinary incontinence. 2023; 42(1): 1-4

Corresponding Author: KÖSEOĞLU H.

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