title: Short term urgency outcomes following transobturator midurethral sling placement.
abstract: BACKGROUND
  Research suggests that midurethral sling placement may have a beneficial effect on urgency (U) and urge incontinence (UUI). This study examined short term U/UUI outcomes in patients undergoing TVT-O placement.
  
  
  METHODS
  One hundred patients undergoing TVT-O placement were prospectively assessed using 3 day bladder diary, combined with multiple validated incontinence questionnaires focusing on UUI, U and QoL.
  
  
  RESULTS
  At 6 week assessment, improvements in daily pad use (2.6 to 0.9) and incontinence episodes (3.6 to 0.7) were seen (p < 0.05, both comparisons). Eighty-two patients reported cure of stress incontinence. Focused outcome scores for UUI improved from 2.0 (± 1.1) to 0.8 (± 1.0) (p value < 0.001), with 39% and 29% of patients reporting score resolution and improvement, respectively. Similarly, mean Urinary Perception Score improved from 10.1 (± 4.4) to 5.8 (± 3.7) (p value < 0.001) with cure/improvement identified in 75%. Eighty-four patients did not require anticholinergics postoperatively. Interestingly, patients reporting residual SUI but improved UUI demonstrated QoL scores only slightly worse than patients with SUI cure and improved or persistent UUI.
  
  
  CONCLUSIONS
  TVT-O placement is associated with cure/improvement in a significant proportion of patients. In addition, significant improvement in QoL is seen following TVT-O placement.
authors.affiliation: Virginia Commonwealth University School of Medicine, Richmond, USA.
authors.forename: Ashley
authors.initials: A
authors.lastname: King
authors.forename: David E
authors.initials: DE
authors.lastname: Rapp
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction; D011446:Prospective Studies; D011788:Quality of Life; D012189:Retrospective Studies; D053825:Suburethral Slings; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D053202:Urinary Incontinence, Urge / Q000503:physiopathology* / Q000601:surgery*