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Randomized Controlled Trial
. 2011 Oct;22(10):1241-7.
doi: 10.1007/s00192-011-1511-3. Epub 2011 Aug 18.

Prevalence of urinary urgency symptoms decreases by mid-urethral sling procedures for treatment of stress incontinence

Kirsi Palva  1 , Carl Gustaf Nilsson
Affiliations
Randomized Controlled Trial

Prevalence of urinary urgency symptoms decreases by mid-urethral sling procedures for treatment of stress incontinence

Kirsi Palva et al. Int Urogynecol J. 2011 Oct.

Abstract

Introduction and hypothesis: Conflicting opinions on the effect of incontinence surgery on the prevalence of postoperative urgency symptoms exists. Our aim was to evaluate the prevalence of urgency symptoms preoperatively and during 3-year of follow-up in women undergoing mid-urethral sling procedures for stress incontinence.

Methods: Two hundred and sixty-seven women were randomly assigned to a retropubic or a transobturator operation. Detrusor instability score (DIS) and Urogenital Distress Inventory-6 (UDI-6) questionnaires were used to assess prevalence of urgency symptoms. The Incontinence Impact Questionnaire-7, visual analog scale, urinary incontinence severity score, and the EuroQol-5D assessed overall quality of life changes.

Results: A significant decrease in the DIS and UDI-6 score was seen postoperatively. Signs of de novo urgency symptoms were low.

Conclusions: Mid-urethral sling procedures can be recommended in cases of mixed incontinence, and the procedures seems to decrease prevalence of urgency symptoms.

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References

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