Outcome measures and definition of cure in female stress urinary incontinence surgery: a survey of recent publications

Abstract

Introduction and hypothesis: Much variability exists in outcome measures used to report success of SUI surgery. We set out to evaluate outcome measures and definitions of cure in SUI surgery studies.

Methods: Outcome measures, success rates, and definition of cure were analyzed from published series and compared to recommendations by leading authorities.

Results: Ninety-one publications were analyzed. Thirty (33%) utilized solely subjective measures, four (4%) utilized only objective measures, and 57 (63%) included both. Sixty-one (67%) used symptom questionnaires, 56 (60%) QOL questionnaires, and six (7%) visual analog scale. Twelve (13%) used voiding diaries and 52 (56%) used self-reporting as an outcome measure. Objective measures: 52 (57%) cough stress test, 37 (41%) urodynamic evaluation, 28 (31%) pad testing and a combination in 33 (36%). Few studies adhered to one set of outcome recommendations.

Conclusion: Outcome measures used to evaluate success of anti-incontinence procedures lack consensus and comparability.