title: Patient satisfaction after retropubic and transobturator slings: first assessment using the Incontinence Outcome Questionnaire (IOQ).
abstract: OBJECTIVE
  The aim of the Incontinence Outcome Questionnaire (IOQ) is to assess quality of life and patient-reported outcome after midurethral slings.
  
  
  METHODS
  In this retrospective study, 626 patients with a minimum follow-up period of 1 year were sent the IOQ. Four hundred twenty-two of 626 (67.4%) patient responses were evaluated.
  
  
  RESULTS
  The mean IOQ QoL extended score was 33.7 ± 17.5 and comparable for tension-free vaginal tape (TVT), outside-in transobturator tape (TOT), and inside-out transobturator vaginal tape (TVT-O). Evaluation of IOQ question about readmission revealed a total of 32 patients (18 TVT, 12 TOT, and 2 TVT-O) who underwent a subsequent operation due to sling-related complications. Freedom from reoperation for recurrent SUI at 1, 2, and 5 years was 100%, 99.7 ± 0.3%, and 99.7 ± 0.3% for TVT, 100% for TVT-O, and 94.2 ± 2.5%, 91.9 ± 2.9%, and 89.9 ± 3.5% for TOT, respectively (p < 0.001).
  
  
  CONCLUSIONS
  Patient satisfaction, assessed using the IOQ, is high after retropubic and transobturator slings. In our collective, relapse incontinence is higher after TOT.
authors.affiliation: Department of Gynecology, University Hospital Zurich, Frauenklinikstrasse 10, 8091 Zurich, Switzerland. cornelia.betschart@usz.ch
authors.forename: Cornelia
authors.initials: C
authors.lastname: Betschart
authors.forename: David
authors.initials: D
authors.lastname: Scheiner
authors.forename: Eva
authors.initials: E
authors.lastname: Hess
authors.forename: Burkhardt
authors.initials: B
authors.lastname: Seifert
authors.forename: Daniel
authors.initials: D
authors.lastname: Fink
authors.forename: Daniele
authors.initials: D
authors.lastname: Perucchini
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D008875:Middle Aged; D010359:Patient Readmission / Q000706:statistics & numerical data; D017060:Patient Satisfaction; D011788:Quality of Life; D012086:Reoperation / Q000706:statistics & numerical data; D012189:Retrospective Studies; D053825:Suburethral Slings; D011795:Surveys and Questionnaires; D014549:Urinary Incontinence / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000295:instrumentation / Q000379:methods*