title: Longitudinal trends with improvement in quality of life after TVT, TVT O and Burch colposuspension procedures.
abstract: BACKGROUND
  Comparison of the quality of life (QoL) trends after TVT, TVT O and Burch colposuspension (BCS) procedures and comparison of long-term subjective and objective outcomes.
  
  
  METHODS
  The study included 215 women who underwent a TVT, TVT O or BCS procedure. We monitored QoL after each procedure and the effect of complications on the QoL as assessed by the IQOL questionnaire over a 3-year period.
  
  
  RESULTS
  The study was completed by 74.5% of women after TVT, 74.5% after TVT O, and 65.2% after BCS procedure. In the long-term, the QoL improved from 46.9 to 88.7 and remained stable after BCS; after TVT and TVT O, it declined, but only after TVT O was the decline statistically significant compared to BCS. The IQOL for women with post-operative complications has a clear descending tendency. The effect of the complications is highly significant (p<0.001). Only the OAB complication had a statistically significant effect on QoL p<0.001. Preexistent OAB does not negatively affect postoperative results of anti-incontinence surgery.
  
  
  CONCLUSIONS
  There was a statistically significant decline with the longitudinal values of IQOL with TVT O, but not with TVT or BCS. Anti-incontinence operations significantly improve quality of life for women with MI, but compared to the SI group, the quality of life is worse when measured at a longer time interval after the operation. Anti-incontinence operations significantly improve quality of life, and the difference in preoperative status in the long-term follow-up is demonstrable.
authors.affiliation: Department of Obstetrics and Gynecology, 1st Medical Faculty, Charles University and General Teaching Hospital in Prague, Prague, Czech Republic. drahoradovap@centrum.cz
authors.forename: Petra
authors.initials: P
authors.lastname: Drahoradova
authors.forename: Alois
authors.initials: A
authors.lastname: Martan
authors.forename: Kamil
authors.initials: K
authors.lastname: Svabik
authors.forename: Karel
authors.initials: K
authors.lastname: Zvara
authors.forename: Martin
authors.initials: M
authors.lastname: Otava
authors.forename: Jaromir
authors.initials: J
authors.lastname: Masata
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008875:Middle Aged; D011182:Postoperative Care; D011183:Postoperative Complications / Q000209:etiology; D011788:Quality of Life; D053825:Suburethral Slings / Q000009:adverse effects; D011795:Surveys and Questionnaires; D014550:Urinary Incontinence, Stress / Q000601:surgery; D013520:Urologic Surgical Procedures / Q000009:adverse effects / Q000379:methods*