title: Fulfilment of patient goals after tension-free vaginal tape operation for stress urinary incontinence.
abstract: OBJECTIVE
  The aim of this study was to investigate patient-reported goals after a tension-free vaginal tape operation for stress urinary incontinence and the correlation with postoperative incontinence.
  
  
  METHODS
  A prospective study involving 70 women was carried out. Preoperatively, patients completed the International Consultation on Incontinence Questionnaire Urinary Incontinence Short Form (ICIQ-UI SF) and stated three goals for the operation. A telephone interview was performed 3 months postoperatively.
  
  
  RESULTS
  A Visual Analogue Scale (VAS) score from zero to ten estimated the extent to which goals were achieved. Goals were divided into five groups: 1, symptoms; 2, quality of life (physical); 3, quality of life (emotional); 4, sexual function; 5, avoidance. ICIQ-UI SF preoperative mean was 14.9 and postoperative mean was 1.5 (p < 0.05). A total of 210 goals were stated. The majority of the goals (38 %) were in group 2 concerning quality of life in the physical domains. Mean VAS score for all goals was 9.1 (SD 2). Thirty-seven patients (53 %) fulfilled all their goals. Twenty-one patients (30 %) did not have a VAS score of 10, although continent with an ICIQ-UI SF score of zero. Reasons for not achieving a full VAS score were that some still used pads out of fear (n = 10), that their mental focus was still on incontinence (n = 7) or that they had not yet tried some of the physical aims (n = 7).
  
  
  CONCLUSIONS
  Most patients achieved their goals. The majority of the goals concerned quality of life in the physical domains.
authors.affiliation: Department of Obstetrics and Gynecology, Aalborg University Hospital, Reberbansgade, 9000, Aalborg, Denmark. glavind@dadlnet.dk.
authors.forename: Karin
authors.initials: K
authors.lastname: Glavind
authors.affiliation: Department of Obstetrics and Gynecology, Aalborg University Hospital, Reberbansgade, 9000, Aalborg, Denmark.
authors.forename: Jonna
authors.initials: J
authors.lastname: Bjørk
authors.affiliation: Department of Obstetrics and Gynecology, Aalborg University Hospital, Reberbansgade, 9000, Aalborg, Denmark.
authors.forename: Sabrina
authors.initials: S
authors.lastname: Kousgaard
mesh_terms: D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D006040:Goals; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D011446:Prospective Studies; D011788:Quality of Life; D053825:Suburethral Slings / Q000523:psychology*; D014550:Urinary Incontinence, Stress / Q000523:psychology / Q000601:surgery*
keywords: Patient goals; Stress urinary incontinence; Tension-free vaginal tape