title: Telephone - delivered quality of life after 365 male stress urinary incontinence (SUI) operations.
abstract: OBJECTIVE
  To assess patient satisfaction and quality of life and factors that may be related to these outcomes.
  
  
  METHODS
  Between 2000 and 2008 a retrospective chart review and te¬lephone survey of all surgeries for male SUI was performed. Average age at times of operation was 69.4 ± 7.4 (median 69). As part of the survey 270 of 365 patients were available (response rate: 74%). The average follow up time (from operation to telepho¬ne survey) was 34.8 ± 22.8 months (median 32).
  
  
  RESULTS
  Pad use per day improved significantly after operation from 6.23±5.3 to 1.61±2.92 pads/day (p=0.001). 74.7% (n=198) declared to be continent with one safety pad and 87.7% (n=236) confirmed the postoperative improvement of incontinence. 189 (70.5%) patients were "very satisfied" and "satisfied". In 81% (n=218) the expectation in operation could be met, therefore 84.3% (n=226) would undergo it again and 90.3% (n=243) would recommend it to others. Lower age (rs=0.211), few postoperative pads per day (rs=0.58), high reduction of pads (rs=-0.35) and physical activity level (rs=0.2) correlate significantly with better satisfaction.
  
  
  CONCLUSIONS
  Eighty-seven pint seven percent (87.7%) of our incontinence operations (n=236) lead to an improvement, which is independent from the number of prior in¬continence operations and preoperative pad count. The postoperative quality of life remains constant over the observed follow up time. Certain subgroups of patients (younger age, high physical activity level, large reduction of pads) demonstrated su¬perior satisfaction rates.
authors.affiliation: Landesklinikum Mistelbach - Urology Mistelbach, Lower Austria, Austria.
authors.forename: Katharina Maria
authors.initials: KM
authors.lastname: Bretterbauer
authors.affiliation: Landesklinikum Korneuburg - Urology Korneuburg, Austria.
authors.forename: Erik Randall
authors.initials: ER
authors.lastname: Huber
authors.affiliation: Landesklinikum Korneuburg - Urology Korneuburg, Austria.
authors.forename: Mesut
authors.initials: M
authors.lastname: Remzi
authors.affiliation: Landesklinikum Korneuburg - Urology Korneuburg, Austria.
authors.forename: Wilhelm
authors.initials: W
authors.lastname: Huebner
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015444:Exercise / Q000502:physiology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D016496:Incontinence Pads / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D011184:Postoperative Period; D011468:Prostatectomy / Q000009:adverse effects; D011788:Quality of Life; D012189:Retrospective Studies; D012720:Severity of Illness Index; D053825:Suburethral Slings; D011795:Surveys and Questionnaires; D013689:Telephone; D013997:Time Factors; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000209:etiology / Q000601:surgery*
keywords: Neoplasms; Prostate; Urinary Incontinence