Prevalence and outcome of surgery for female incontinence.
A 4.7 percent surgery rate to correct urine loss conditions was found by a large scale survey of sixty-year and older non-institutionalized women in a Michigan county. The initial postoperative results reported by the respondents were 74 percent complete continence and 23 percent partial relief. The long-term self-reported outcomes (two years or more post-surgery) were an absolute continence rate of 39 percent and 17 percent with mild incontinence (the median time since surgery was 12 years), whereas the short term (4-23 months, mean 7.1 months) absolute continence rate was 71 percent. The characteristics of the incontinence respondent who had previous surgery showed 70 percent having mixed stress-urge type of incontinence and 66 percent losing urine almost weekly or daily. Bladder emptying symptoms were reported by 30.4 percent of the continent previously-operated respondents compared with 13.0 percent of the incontinent previously-operated respondents. All continent respondents and 84 percent of the incontinent respondents believed that physicians can help people with a urine loss condition.
Diokno
A C
AC
Department of Surgery-Urology, Medical School, University of Michigan, Ann Arbor.
Brown
M B
MB
Brock
B M
BM
Herzog
A R
AR
Normolle
D P
DP
D000368:Aged; D001290:Attitude; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008824:Michigan; D012008:Recurrence; D012086:Reoperation; D012720:Severity of Illness Index; D013997:Time Factors; D014550:Urinary Incontinence, Stress / Q000453:epidemiology / Q000523:psychology / Q000601:surgery