title: Quality of life after treatment with midurethral sling and concomitant prolapse repair in patients with mixed versus stress urinary incontinence.
abstract: OBJECTIVE
  To compare quality of life in patients with mixed urinary incontinence (MUI) to stress urinary incontinence (SUI) after treatment with a retropubic midurethral sling and concomitant prolapse repair.
  
  
  METHODS
  Sixty-three patients met inclusion criteria. Patients completed the short form of the urogenital distress inventory (UDI-6) questionnaire pre- and postoperatively. Concomitant procedures included anterior/posterior colporrhaphy, paravaginal repair, LeForte, vaginal hysterectomy, and sacrospinous ligament fixation.
  
  
  RESULTS
  Preoperatively, those with MUI had significantly higher UDI-6 scores (59.8 ± 16.6 vs. 42.3 ± 14.5, respectively, P < 0.0001). Postoperatively, there was no difference in UDI-6 scores (P = 0.87). Subjective cure rate for SUI was the same in patients with MUI versus SUI (73%). Patients with MUI demonstrated a significantly greater improvement in UDI-6 scores as compared to patients with SUI.
  
  
  CONCLUSIONS
  Patients with MUI compared with SUI demonstrated a greater improvement in quality of life after midurethral sling placement and concomitant pelvic organ prolapse repair as assessed by a disease-specific quality of life questionnaire (UDI-6).
authors: Department of Obstetrics and Gynecology, Weill Cornell Medical College of Cornell University, New York, New York, USA.
authors: Stephanie N
authors: SN
authors: Lin
authors: Allan S
authors: AS
authors: Klapper
authors: Peter
authors: P
authors: Wong
authors: Dara F
authors: DF
authors: Shalom
authors: Harvey A
authors: HA
authors: Winkler