Phé Véronique, Zimmern Philippe, Chartier-Kastler Emmanuel
Department of Urology, Pitié-Salpêtrière Academic Hospital, Assistance Publique-Hôpitaux de Paris, Pierre and Marie Curie Medical School, University Paris 6, 47-83 boulevard de l'hôpital, 75651, Paris Cedex 13, France,
World J Urol. 2015 Sep;33(9):1221-34. doi: 10.1007/s00345-015-1524-5. Epub 2015 Mar 20.
The aim of the study was to present the different outcome measures used to evaluate stress urinary incontinence (SUI) surgical treatments and to discuss their interests.
A review of the literature based on the PubMed and Cochrane Library databases was performed using the following keywords alone and/or in combination: SUI, outcomes, surgery, questionnaires, meta-analysis, and quality of life. The research was restricted to the English and French language between 1995 and 2014.
To assess the outcomes of a SUI surgery, it is relevant to report objective measurements, subjective outcomes, and surgical complications. Discrepancies exist in the use of tools. Voiding diaries have not been regularly adopted in practice contrary to pad test. Urodynamic measures did not predict the outcomes after surgery for SUI. Less than 40 % of surgeons used the most scientifically validated urinary incontinence symptom and QOL questionnaires as outcome measures (IIQ, IIQ-7, KHQ, I-QOL, UDI, or UDI-6). Due to time constraints, unfamiliarity with many of the tools, and a lack of widely accepted efficacy criteria, validated quality of life and symptom-related questionnaires are underused by clinicians in routine practice.
There is no consensus on the best way to define treatment success in the context of SUI. However, it is acknowledged that including patient-reported outcomes is essential. There is a need to uniform outcomes reporting tools to be able to compare data across studies and perform meaningful meta-analyses.
本研究旨在介绍用于评估压力性尿失禁（SUI）手术治疗效果的不同结局指标，并探讨其意义。
基于PubMed和Cochrane图书馆数据库进行文献综述，单独和/或组合使用以下关键词：SUI、结局、手术、问卷、荟萃分析和生活质量。研究限于1995年至2014年间的英文和法文文献。
为评估SUI手术的效果，报告客观测量结果、主观结局和手术并发症是有意义的。在工具使用方面存在差异。与尿垫试验相反，排尿日记在实际应用中未被常规采用。尿动力学测量不能预测SUI手术后的结局。不到40%的外科医生使用科学验证程度最高的尿失禁症状和生活质量问卷作为结局指标（IIQ、IIQ-7、KHQ、I-QOL、UDI或UDI-6）。由于时间限制、对许多工具不熟悉以及缺乏广泛接受的疗效标准，在日常实践中，经过验证的生活质量和症状相关问卷未得到临床医生充分使用。
在SUI背景下，对于定义治疗成功的最佳方法尚无共识。然而，人们认识到纳入患者报告的结局至关重要。需要统一结局报告工具，以便能够跨研究比较数据并进行有意义的荟萃分析。
