title: Female urinary incontinence: patient-reported outcomes 1 year after midurethral sling operations.
abstract: OBJECTIVE
  Although midurethral slings have become standard surgical methods to treat stress urinary incontinence (SUI), little is known about women who still have urinary incontinence (UI) after surgery. This study assesses and compares the patient-reported outcome 12 months after tension-free vaginal tape (TVT), tension-free vaginal tape-obturator (TVT-O), and transobturator tape (TOT), with a special focus on women who still have urinary leakage postoperatively.
  
  
  METHODS
  This study analyzed preoperative and 12-month postoperative data from 3,334 women registered in the Swedish National Quality Register for Gynecological Surgery.
  
  
  RESULTS
  Among the women operated with TVT (n = 2,059), TVT-O (n = 797), and TOT (n = 478), 67 %, 62 %, and 61 %, respectively, were very satisfied with the result at the 1-year follow-up. There was a significantly higher chance of becoming continent after TVT compared with TOT. In total, 977 women (29 %) still had some form of urinary leakage postoperatively. Among the postoperatively incontinent women who expressed a negative impact of UI on family, social, work, and sexual life preoperatively, considerably fewer reported a negative impact in all domains after surgery. Of those in the postoperatively incontinent group who had coital incontinence preoperatively, 63 % reported a cure of coital incontinence.
  
  
  CONCLUSIONS
  The proportion of women very satisfied with the result of the operation did not differ between the three groups. TVT had a higher SUI cure rate than did TOT. Despite urinary leakage 1-year postoperatively, half of the women were satisfied with the result of the operation.
authors.affiliation: Department of Clinical Sciences, Obstetrics and Gynecology, Umeå University, 901 85 Umeå, Sweden. margareta.nilsson@vll.se
authors.forename: Margareta
authors.initials: M
authors.lastname: Nilsson
authors.forename: Othon
authors.initials: O
authors.lastname: Lalos
authors.forename: Håkan
authors.initials: H
authors.lastname: Lindkvist
authors.forename: Mats
authors.initials: M
authors.lastname: Löfgren
authors.forename: Ann
authors.initials: A
authors.lastname: Lalos
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D008875:Middle Aged; D017060:Patient Satisfaction; D011184:Postoperative Period; D011788:Quality of Life; D012042:Registries; D012189:Retrospective Studies; D053825:Suburethral Slings; D013548:Sweden; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000453:epidemiology* / Q000601:surgery*