title: Prevalence of urinary urgency symptoms decreases by mid-urethral sling procedures for treatment of stress incontinence.
abstract: OBJECTIVE
  Conflicting opinions on the effect of incontinence surgery on the prevalence of postoperative urgency symptoms exists. Our aim was to evaluate the prevalence of urgency symptoms preoperatively and during 3-year of follow-up in women undergoing mid-urethral sling procedures for stress incontinence.
  
  
  METHODS
  Two hundred and sixty-seven women were randomly assigned to a retropubic or a transobturator operation. Detrusor instability score (DIS) and Urogenital Distress Inventory-6 (UDI-6) questionnaires were used to assess prevalence of urgency symptoms. The Incontinence Impact Questionnaire-7, visual analog scale, urinary incontinence severity score, and the EuroQol-5D assessed overall quality of life changes.
  
  
  RESULTS
  A significant decrease in the DIS and UDI-6 score was seen postoperatively. Signs of de novo urgency symptoms were low.
  
  
  CONCLUSIONS
  Mid-urethral sling procedures can be recommended in cases of mixed incontinence, and the procedures seems to decrease prevalence of urgency symptoms.
authors.affiliation: Department of Obstetrics and Gynecology, Helsinki University Central Hospital, POB 140, Haartmaninkatu 2, 00029, Helsinki, Finland.
authors.forename: Kirsi
authors.initials: K
authors.lastname: Palva
authors.forename: Carl Gustaf
authors.initials: CG
authors.lastname: Nilsson
mesh_terms: D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D015995:Prevalence; D012720:Severity of Illness Index; D053825:Suburethral Slings; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D053201:Urinary Bladder, Overactive / Q000453:epidemiology / Q000601:surgery; D014550:Urinary Incontinence, Stress / Q000453:epidemiology* / Q000601:surgery*