Objective:
The aim of this study is to classify the patients with “Urinary incontinence score for females” test and than evaluation of the patients with quality of life tests before and after TVT procedure.
Design:
The history, physical examination, intraoperative complications, operation time and postoperative complications of patients were recorded. At the preoperative period “Urinary incontinence score for females” test were performed to all patients. To the patients in the stress, urge and mixed incontinence groups, UDI-6 (Urogenital Distress Inventory-6) and IIQ-7 (Incontinence Impact Questionairre-7) quality of life tests were performed preoperatively and at 6th week and 6th month postoperatively and results were then compared.
Setting:
Hacettepe University Hospital, Department of Obstetrics and Gynecology
Patients:
94 patients in which TVT procedure was performed
Interventions:
TVT procedure was performed on 94 patients. The UDI-6 (Urogenital Distress Inventory-6) and IIQ-7 (Incontinence Impact Questionairre-7) quality of life tests were performed preoperatively postoperatively.
Results:
The mean age of the patients were 46,8 years. TVT procedure alone were performed in 8 patients. In addition to TVT, Anterior and posterior colporraphy is performed in 27, Vaginal hysterectomy and Unilateral/bilateral salphingoophorectomy is performed in 57 and manchester operation in 2 of the remaining patients. The most common intraoperative complication was bladder perforation (%15.9). When classified according to urinary incontinence score for females, the percentage of stress, urge and mixed incontinence groups were 36,2, 6,4 and 57,4 respectively and the success rate of TVT in these groups were 100%, 66.67% and 88.89% respectively. When preoperative and postoperatif IIQ-7 and UDI-6 scores were compared, the difference between scores were found to be statistically significant.
Conclusions:
When classification of patients were done with subjective methods instead of objective methods and than treated, a comparable success rates in comparison to objective methods were obtained.
Keywords: stress incontinence, tension-free vaginal tape, quality of life