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01 February 2011

Longitudinal trends with Improvement in Quality of Life after TVT, TVT O and Burch Colposuspension Procedures

Petra DrahoradovaABDEF, Alois MartanAD, Kamil SvabikBD, Karel ZvaraCD, Martin OtavaC, Jaromir MasataABDEFG

DOI: 10.12659/MSM.881389

Med Sci Monit 2011; 17(2): CR67-72

Abstract

Background: Comparison of the quality of life (QoL) trends after TVT, TVT O and Burch colposuspension (BCS) procedures and comparison of long-term subjective and objective outcomes.
Material/Methods: The study included 215 women who underwent a TVT, TVT O or BCS procedure. We monitored QoL after each procedure and the effect of complications on the QoL as assessed by the IQOL questionnaire over a 3-year period.
Results: The study was completed by 74.5% of women after TVT, 74.5% after TVT O, and 65.2% after BCS procedure.
In the long-term, the QoL improved from 46.9 to 88.7 and remained stable after BCS; after TVT and TVT O, it declined, but only after TVT O was the decline statistically significant compared to BCS.
The IQOL for women with post-operative complications has a clear descending tendency. The effect of the complications is highly significant (p<0.001). Only the OAB complication had a statistically significant effect on QoL p<0.001. Preexistent OAB does not negatively affect postoperative results of anti-incontinence surgery.
Conclusions: There was a statistically significant decline with the longitudinal values of IQOL with TVT O, but not with TVT or BCS. Anti-incontinence operations significantly improve quality of life for women with MI, but compared to the SI group, the quality of life is worse when measured at a longer time interval after the operation. Anti-incontinence operations significantly improve quality of life, and the difference in preoperative status in the long-term follow-up is demonstrable.

Keywords: Questionnaires, Suburethral Slings - adverse effects, Quality of Life, Postoperative Complications - etiology, Postoperative Care, Aged, 80 and over, Urinary Incontinence, Stress - surgery, Urologic Surgical Procedures - methods

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Medical Science Monitor eISSN: 1643-3750