女性压力性尿失禁经尿道吊带术后的生活质量。

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引用次数: 0

摘要

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:这是一项回顾性队列研究,基于 2014 年和 2015 年在一家三级医院连续接受该手术的 51 名妇女的数据。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咨询会简短生活质量问卷(ICIQ-IU-SF)进行评估。通过二元逻辑回归确定了治疗失败的相关因素:结果:在 5 年的随访中,我们发现治疗失败的绝对值降低了 8.78 分(95% CI 6.43-11.14;P86.3%的参与者(44/50)成功接受了尿失禁吊衣治疗,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。
Quality of life following transobturator sling surgery for female stress urinary incontinence

Objective

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

Materials 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 Quality of Life Questionnaire (ICIQ-IU-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-IU-SF questionnaire 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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