Quality of life following transobturator sling surgery for female stress urinary incontinence

Abstract

Abstract Purpose: This descriptive study examines quality of life in women undergoing placement of a midurethral sling for stress urinary incontinence. Methods: This was aretrospective cohort study based on data from 51 women consecutivelyundergoing this procedure at our hospital in the years 2014 and 2015. The main outcome variable was quality of life assessed through the Sandvick severity test and International Consultation on Incontinence Short Quality of Life Questionnaire (ICIQ-IU-SF) at the time points baseline or presurgery, and 6 months and 5 years postsurgery Factors associated with treatment failure were determined through binary logistic regression. Results:Five years after surgery, quality of life scores were good. The rate of treatment failure was 12%. Multiparity and previous gynaecological surgery were identified as predisposing factors for treatment failure. Obesity was associated with a worse treatment outcome. Conclusion: Sling treatment for incontinence was successful in most participants and remained effective 5 years after surgery in terms of quality of life.