title: Preoperative and postoperative predictors of satisfaction after surgical treatment of stress urinary incontinence.
abstract: OBJECTIVE
  The purpose of this study was to assess which preoperative and postoperative variables correlated with satisfaction after surgical treatment of urinary incontinence.
  
  
  METHODS
  We conducted a retrospective cohort study of 371 women who underwent rectus fascial or midurethral sling procedure. Satisfaction was defined as a questionnaire response of "completely satisfied." Incontinence symptoms were based on responses to validated questionnaires. Associations between preoperative and postoperative variables and satisfaction were assessed with the use of logistic regression models.
  
  
  RESULTS
  Increasing patient age (odds ratio [OR], 0.8; P = .002), body mass index (OR, 0.8; P = .003), and an autologous rectus fascial sling (compared with a midurethral sling; OR, 0.5; P = .003) were associated with decreased odds of satisfaction in a multivariate model. Furthermore, patients who required urethrolysis or had severe lower-urinary tract symptoms were significantly less likely to report satisfaction.
  
  
  CONCLUSIONS
  Increasing age, body mass index, and type of operation were associated with decreased odds of satisfaction.
authors.affiliation: Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, MN 55905, USA. trabuco.emanuel@mayo.edu
authors.forename: Emanuel C
authors.initials: EC
authors.lastname: Trabuco
authors.forename: Christopher J
authors.initials: CJ
authors.lastname: Klingele
authors.forename: Amy L
authors.initials: AL
authors.lastname: Weaver
authors.forename: Michaela E
authors.initials: ME
authors.lastname: McGree
authors.forename: Deborah J
authors.initials: DJ
authors.lastname: Lightner
authors.forename: John B
authors.initials: JB
authors.lastname: Gebhart
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D015992:Body Mass Index; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction; D011184:Postoperative Period; D012189:Retrospective Studies; D053825:Suburethral Slings; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014521:Urethra / Q000601:surgery*; D014550:Urinary Incontinence, Stress / Q000601:surgery*