接受经尿道网片手术矫正压力性尿失禁(SUI)患者的生活质量

IF 1.2 4区 医学 Q3 UROLOGY & NEPHROLOGY
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引用次数: 0

摘要

这项描述性研究探讨了因压力性尿失禁而接受尿道中段吊带置入术的女性的生活质量。主要结果变量为基线或手术前、手术后 6 个月和 5 年的生活质量,通过 Sandvick 严重程度测试和国际尿失禁会诊简表生活质量问卷(ICIQ-UI-SF)进行评估。通过二元逻辑回归确定了与治疗失败相关的因素。结果在完成随访的 35 名患者中,与基线相比,随访 5 年后 ICIQ-UI-SF 绝对值降低了 8.78 分(95% CI 6.43-11.14;p <;0.001),Sandvick 严重程度测试得分降低了 4.54(95% CI 3.25-5.83;p <;0.001)。在接受随访的 51 名患者中,尿失禁矫正成功率为 86.3%(44/50),失败率为 12%(6/50)。多产妇和曾接受过妇科手术被认为是治疗失败的诱因。结论86.3%(44/50)的尿失禁患者通过吊带治疗获得了成功,术后5年在生活质量方面仍然有效。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Calidad de vida en pacientes intervenidas quirúrgicamente mediante malla transobturadora para la corrección de incontinencia urinaria de esfuerzo

Objective

This descriptive study examines quality of life in women undergoing placement of a midurethral sling for stress urinary incontinence.

Material and methods

This was a retrospective cohort study based on data from 51 women consecutively undergoing this procedure at a tertiary hospital in the years 2014 and 2015. The main outcome variable was quality of life assessed through the Sandvick severity test and International Consultation on Incontinence Short Form quality of life questionnaire (ICIQ-UI-SF) at the time points baseline or presurgery, and 6 months and 5 years postsurgery. Factors associated with treatment failure were determined through binary logistic regression.

Results

At 5-year follow-up we obtained an absolute reduction of 8.78 points (95% CI 6.43-11.14; p < 0.001) in the ICIQ-UI-SF and 4.54 (95% CI 3.25-5.83; p < 0.001) in the Sandvick severity test score, compared to baseline, in the 35 patients that completed follow-up. Out of the 51 patients that were followed, the rate of success in incontinence correction was 86.3% (44/50) with a failure rate of 12% (6/50). Multiparity and previous gynaecological surgery were identified as predisposing factors for treatment failure. Obesity was associated with a worse treatment outcome.

Conclusion

Sling treatment for incontinence was successful in 86.3% (44/50) of participants and remained effective 5 years after surgery in terms of quality of life.
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来源期刊
Actas urologicas espanolas
Actas urologicas espanolas UROLOGY & NEPHROLOGY-
CiteScore
1.90
自引率
0.00%
发文量
98
审稿时长
46 days
期刊介绍: Actas Urológicas Españolas is an international journal dedicated to urological diseases and renal transplant. It has been the official publication of the Spanish Urology Association since 1974 and of the American Urology Confederation since 2008. Its articles cover all aspects related to urology. Actas Urológicas Españolas, governed by the peer review system (double blinded), is published online in Spanish and English. Consequently, manuscripts may be sent in Spanish or English and bidirectional free cost translation will be provided.
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