Quality of life after surgery for stress incontinence

被引：23

作者：

Tennstedt, S. L. ^{[1
]}

Litman, H. J. ^{[1
]}

Zimmern, P. ^{[2
]}

Ghetti, C. ^{[3
]}

Kusek, J. W. ^{[4
]}

Nager, C. W. ^{[5
]}

Mueller, E. R. ^{[6
]}

Kraus, S. R. ^{[7
]}

Varner, E. ^{[8
]}

机构：

[1] New England Res Inst, Watertown, MA 02472 USA

[2] Univ Texas SW Med Ctr Dallas, Dallas, TX 75390 USA

[3] Univ Pittsburgh, Magee Womens Hosp, Pittsburgh, PA 15213 USA

[4] NIDDK, NIH, Bethesda, MD USA

[5] Univ Calif San Diego, Med Ctr, San Diego, CA 92103 USA

[6] Loyola Univ, Med Ctr, Maywood, IL 60153 USA

[7] Univ Texas Hlth Sci Ctr San Antonio, San Antonio, TX 78229 USA

[8] Univ Alabama, Birmingham, AL USA

来源：

INTERNATIONAL UROGYNECOLOGY JOURNAL | 2008年 / 19卷 / 12期

基金：

美国国家卫生研究院;

关键词：

Quality of life; Surgery; Urinary incontinence;

D O I：

10.1007/s00192-008-0700-1

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

This study investigated changes in condition-specific quality of life (QOL) after surgery for stress urinary incontinence. Data from 655 women in a clinical trial comparing the Burch and fascial sling were examined. Improvement in QOL, measured with the Incontinence Impact Questionnaire (mean decrease 133.1; SD 109.8), was observed 6 months after surgery and persisted at 24 months. Women for whom surgery was successful (regardless of surgery type) had greater improvement in QOL (mean decrease 160.0; SD 103.9) than did women for whom surgery was not successful (mean decrease 113.6; SD 110.9; p < 0.0001), although not statistically significant after adjusting for covariates. Multivariable analysis showed that QOL improvement was related to decreased urinary incontinence (UI) symptom bother, greater improvement in UI severity, younger age, Hispanic ethnicity, and receiving Burch surgery. Among sexually active women, worsening sexual function had a negative impact on QOL. Improved QOL was explained most by UI symptom improvement.

引用

页码：1631 / 1638

页数：8

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