Suburethral sling using the transobturator approach: a quality-of-life analysis.
OBJECTIVE
The objective of the study was to determine the degree of benefit of a transobturator midurethral polypropylene sling in patients with stress urinary incontinence through a quality-of-life instrument and outcome analysis.


METHODS
Forty-seven patients completed the validated Individual Incontinence Impact Questionnaire both before and after treatment. Subjects also completed the validated Patient Satisfaction Questionnaire postoperatively to complete outcome analysis. Statistical analyses included a paired Student t test for intrapair comparisons and 2-sample t tests to compare mean differences between groups.


RESULTS
Individual Incontinence Impact Questionnaire scores for the entire sample declined from a preoperative mean of 43.0 +/- 27.0% to a postoperative mean of 11.8 +/- 16.4 (P < .0001). On review of Patient Satisfaction Questionnaire responses, 45 patients (95.7%) were completely satisfied or somewhat satisfied, and 42 subjects (89.4%) stated their leakage was much better or better.


CONCLUSIONS
The transobturator midurethral sling provides a significant improvement in quality-of-life and high postoperative patient satisfaction.
Lukban
James Chivian
JC
Urogynecology Associates of Colorado, Denver, CO, USA. jlukban@aol.com
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D011126:Polypropylenes; D019736:Prostheses and Implants; D011788:Quality of Life; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D014550:Urinary Incontinence, Stress / Q000523:psychology / Q000601:surgery*; D013520:Urologic Surgical Procedures
D011126:Polypropylenes