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

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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.

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Abbreviations

BMI:

Body mass index

HPF:

High-power field

FSFI:

Female Sexual Function Index

IIQ:

Incontinence Impact Questionnaire

MMK:

Marshall–Marchetti–Krantz

MUS:

Mid-urethral sling

PVS:

Pubovaginal sling

RCT:

Randomized controlled trial

SUI:

Stress urinary incontinence

SISTEr:

Stress Incontinence Surgical Treatment Efficacy Trial

TVT:

Tension-free vaginal tape

UDI:

Urogenital distress inventory

UTI:

Urinary tract infection

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Authors and Affiliations

  1. Voiding Dysfunction and Female Urology, Urology and Nephrology Center, Mansoura, Egypt

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

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  1. Bassem S. Wadie
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  2. Ahmed Mansour
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  3. Ahmed S. El-Hefnawy
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  4. Adel Nabeeh
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  5. Albair A. Khair
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Correspondence to Bassem S. Wadie.

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Wadie, B.S., Mansour, A., El-Hefnawy, A.S. et al. Minimum 2-year follow-up of mid-urethral slings, effect on quality of life, incontinence impact and sexual function. Int Urogynecol J 21, 1485–1490 (2010). https://doi.org/10.1007/s00192-010-1216-z

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  • DOI: https://doi.org/10.1007/s00192-010-1216-z

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