Citation Information :
Agarwal S, Batra A. Assessment of the Quality of Life in Patients with Genuine Stress Urinary Incontinence Treated by Tension-free Vaginal Tape. J South Asian Feder Menopause Soc 2019; 7 (2):45-49.
Background and objective: To assess the impact on the quality of life in patients with genuine stress urinary incontinence (GSUI) following a tension-free vaginal tape (TVT) procedure. Materials and methods: Twenty cases of GSUI managed surgically with TVT were assessed postoperatively at 1, 3, 6, and 12 months using two validated disease-specific quality of life questionnaires named incontinence impact questionnaire (IIQ-7) and urogenital distress inventory (UDI-6). The preoperative and postoperative scores were analyzed using the Wilcoxon signed ranks test. Results: The results showed significant improvement in the median scores of both IIQ-7 and UDI-6 questionnaires. The median score of IIQ-7 improved to 10.00 at 12 months as compared to 71.00 preoperatively. Similarly, the median scores of UDI-6 improved to 16.00 at the end of 12 months as compared to 55.00 preoperatively. The improvement in both the scores was found to be statistically significant by applying the Wilcoxon signed ranks test with p < 0.01. Analyzing the stress and urge subscale of UDI-6 at 12 months, an improvement of 97.2% and 45.8 % was shown respectively. Interpretations: The statistically significant decrease in the IIQ-7 and UDI-6 scores suggest definite improvement in the quality of life (QoL) of the patients at a medium-term follow up of 12 months. Conclusion: Tension-free vaginal tape is an effective method for improving the QoL in patients with GSUI.
Hannestad YS, Rortveit G, Hunskaar S. Help-seeking and associated factors in female urinary incontinence. The norwegian EPINCONT study. Epidemiology of incontinence in the county of Nord-Trondelag. Scand J Prim Health Care 2002;20(2):102–107. DOI: 10.1080/pri.188.8.131.52.
Kelleher CJ, Cardozo LD, Toozs-Hobson PM. Quality of life and urinary incontinence. Curr Opin Obstet Gynecol 1995;7(5):404–408. DOI: 10.1097/00001703-199510000-00016.
Ulmsten U, Henriksson L, Johnson P, et al. An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence. Int Urogynecol J 1996;7(2):81–86. DOI: 10.1007/BF01902378.
Petros PE, Ulmsten UL. An integral theory of female urinary incontinence, experimental and clinical considerations. Acta Obstet Gynecol Scand 1990;153:7–31. DOI: 10.1111/j.1600-0412.1990.tb08027.x.
Uebersax JS, Wyman JF, Shumaker SA, et al. Short forms to assess life quality and symptom distress for urinary incontinence in women: the incontinence impact questionnaire and the urogenital distress inventory. Neurourol Urodyn 1995;14(2):31–39. DOI: 10.1002/nau.1930140206.
Abrams P, Blaivas JG, Stanton SL, et al. The standardization of terminology of lower urinary tract function recommended by the international continence society. Br J Obstet Gynaecol 1990;97:1–16.
FitzGerald MP, Kenton K, Shott S, et al. Responsiveness of quality of life measurements to change after reconstructive pelvic surgery. Am J Obstet Gynecol 2001;185(1):20–24. DOI: 10.1067/mob.2001.116364.
Bakas P, Liapis A, Giner M, et al. Quality of life in relation to TVT procedure for the treatment of stress urinary incontinence. Acta Obstet Gynecol Scand 2006;85(6):748–752. DOI: 10.1080/00016340600603759.
Vassallo BJ, Kleeman SD, Segal JL, et al. Tension-free vaginal tape: a quality-of-life assessment. Obstet Gynecol 2002;100(3):518–524. DOI: 10.1097/00006250-200209000-00019.
Ulmsten U, Johnson P, Rezapour M. A three-year follow up of tension free vaginal tape for surgical treatment of female stress urinary incontinence. Br J Obstet Gynaecol 1999;106(4):345–350. DOI: 10.1111/j.1471-0528.1999.tb08272.x.
Olsson I, Kroon U-B. A three-year postoperative evaluation of tension-free vaginal tape. Gynecol Obstet Invest 1999;48(4):267–269. DOI: 10.1159/000010197.
Niemczyk P, Klutke JJ, Carlin BI, et al. United states experience with tension-free vaginal tape procedure for urinary stress incontinence: assessment of safety and tolerability. Tech Urol 2001;7(4):261–265.
Abouassaly R, Steinberg JR, Lemieux M, et al. Complications of tension free vaginal tape surgery; a multi institutional review. BJU Int 2004;94(1):110–113.
Kolle D, Tamussino K, Hanzal E, et al. Austrian urogynecology working group. Bleeding complications with the tension free vaginal tape operation. Am J Obstet Gynecol 2005;193(6):2045–2049. DOI: 10.1016/j.ajog.2005.06.061.
Meschia M, Pifarotti P, Bernasconi F, et al. Tension-free vaginal tape: Analysis of outcomes and complications in 404 stress incontinent women. Int Urogynecol J Pelvic Floor Dysfunct 2001;12(Suppl 2):S24–S27. DOI: 10.1007/s001920170008.
Wang AC, Lo TS. Tension-free vaginal tape. A minimally invasive solution to stress urinary incontinence in women. J Reprod Med 1998;43(5):429–434.
Nilsson CG, Falconer C, Rezapour M. Seven-year follow-up of the tension-free vaginal tape procedure for treatment of urinary incontinence. Obstet Gynecol 2004;104(6):1259–1262. DOI: 10.1097/01.AOG.0000146639.62563.e5.
Rezapour M, Ulmsten U. Tension-free vaginal tape (TVT) in women with recurrent stress urinary incontinence-a long-term follow-up. Int J Urogynecol J Pelvic Floor Dysfunct 2001;12(Suppl 2):S9–S11. DOI: 10.1007/s001920170004.
Nilsson CG, Kuuva N, Falconer C, et al. Long-term results of the tension-free vaginal tape (TVT) procedure for surgical treatment of female stress urinary incontinence. Int J Urogynecol J Pelvic Floor Dysfunct 2001;12(Suppl 2):S5–S8. DOI: 10.1007/s001920170003.
Holmgren C, Hellberg D, Lanner L, et al. Quality of life after tension-free vaginal tape surgery for female stress incontinence. Scand J Urol Nephrol 2006;40(2):131–137. DOI: 10.1080/00365590510031309.