Toledo Luís Gustavo M, Korkes Fernando, Romero Frederico R, Fernandes Roni C, Oliveira Celso, Perez Marjo D C
Division of Urology, Santa Casa of Sao Paulo Medical School, Sao Paulo, Brazil.
Int Urogynecol J Pelvic Floor Dysfunct. 2009 Feb;20(2):201-5. doi: 10.1007/s00192-008-0759-8. Epub 2008 Nov 12.
The purpose of this cross-sectional study was to evaluate patients' satisfaction and urodynamic findings in women undergoing pubovaginal fascial sling procedure. We have evaluated, clinically and urodynamically, 45 women who underwent the rectus fascia pubovaginal sling for urodynamically proven stress urinary incontinence with at least 12 months of postoperative follow-up. After a mean follow-up of 25 months, 93.3% of patients reported being stress continent and 73.3% were satisfied with the result of the surgery. Patients with longer follow-up had a significantly lower satisfaction score (6.4 vs. 9.3, p = 0.005). Using the Blaivas-Groutz nomogram, some degree of obstruction was observed in 51.1% of women. Storage symptoms were related to obstruction (p = 0.004), longer follow-up (p = 0.022), and negative impact on quality of life. Half of the patients had some degree of obstruction, which was directly related to urge syndrome and decrease in quality of life.
