title: Long-term self-assessment of urinary continence after stress urinary incontinence surgery.
abstract: OBJECTIVE
  To evaluate the long-term subjective urinary continence status and quality of life after 3 types of primary operation for stress urinary incontinence.
  
  
  METHODS
  One hundred thirty-four consecutive patients who underwent anti-incontinence surgery (laparoscopic colposuspension, classic tension-free vaginal tape procedure, or open colposuspension) 6 to 9 years ago were mailed short-form questionnaires of the International Consultation on Incontinence Questionnaire-Urinary Incontinence. For statistical analysis, the Student t test, the χ test, and the analysis-of-variance test were used.
  
  
  RESULTS
  Eighty-seven patients (64.9%) returned the questionnaire. The mean follow-up was 7.48 years (range, 6-9 years). Patients in the tension-free vaginal tape group were significantly older (P < 0.001). After primary operation, 7.4% (2 of the 27 patients) in the laparoscopic colposuspension group, 23.53% (8/34) in the classic tension-free vaginal tape group, and 11.5% (3/26) in the open colposuspension group were continent. Repeated operative treatment was more frequent in the laparoscopic colposuspension (18.5%) and open colposuspension (30%) groups compared with the tension-free vaginal tape group (0%; P ≤ 0.003). Calculated scores from the questionnaire from all 3 groups indicated moderate to severe recurrent urinary incontinence with equal prevalence of symptoms of stress, urge, or mixed urinary incontinence.
  
  
  CONCLUSIONS
  Subjective urinary continence 6 to 9 years after primary operative treatment was low for all analyzed procedures.
authors.affiliation: Department of Obstetrics and Gynecology, University Medical Centre Ljubljana, Ljubljana, Slovenia.
authors.forename: Maruša
authors.initials: M
authors.lastname: Strgulc
authors.forename: Matija
authors.initials: M
authors.lastname: Barbič
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction; D047648:Perimenopause / Q000502:physiology; D020127:Recovery of Function; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D014554:Urination / Q000502:physiology