Perceived health status after mid‐urethral sling revision in 287 women from the VIGI‐MESH registry: A cross‐sectional study

Abstract

AbstractObjectiveTo evaluate the health status and recovery of women after mid‐urethral sling (MUS) revision in response to complications.DesignCross‐sectional study using a questionnaire sent to women from a registry.SettingTwenty‐two French surgical centres.PopulationA total of 287 women from the VIGI‐MESH registry responded, having undergone MUS revision for complications.MethodsOur sample of women were compared against a representative set of French women taken from the Eurostat database. Multivariate analysis was performed to identify clinical predictors for successful MUS revision. A qualitative analysis was carried out on free‐text comments.Main outcome measuresHealth status, defined by the Minimum European Health Module, and recovery, assessed by Patient Global Impression of Improvement.ResultsThe response rate was 76% (287/378), with 49% of the women (141/287, 95% CI 43%–55%) reporting good health status, which was 8 points lower than that expected from the comparator French set (57%, 95% CI 55%–58%). Overall, 53% (147/275, 95% CI 47%–59%) of the women reported feeling much better after MUS revision. Just over one‐third (35%, 95/275, 95% CI 29%–40%) of respondents reported poor health with little or no improvement. Multivariate analysis showed that being operated on for pain at revision was associated with worse self‐perceived health than being operated on for exposure (OR 0.36, 95% CI 0.14–0.95); women with pre‐existing comorbidity reported a poorer health status following MUS revision (OR 0.22, 95% CI 0.13–0.38).ConclusionsOur results suggest that half of the women recovered good health status after MUS revision, whereas a proportion appeared to be seriously affected by an MUS complication despite the revision.