Huang Wen-Chu, Lau Hui-Hsuan, Su Tsung-Hsien
Division of Urogynecology, Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, Taiwan; Department of Nursing, Mackay Junior College of Medicine, Nursing, and Management, Taipei, Taiwan; Department of Medicine, Mackay Medical College, Taipei, Taiwan.
Division of Urogynecology, Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, Taiwan; Department of Obstetrics and Gynecology, Hsinchu Mackay Memorial Hospital, Hsinchu, Taiwan.
Taiwan J Obstet Gynecol. 2018 Apr;57(2):295-299. doi: 10.1016/j.tjog.2018.02.020.
To report the objective outcome, subjective measurement of incontinence-related quality of life (QoL) for female urodynamic stress incontinence (USI) after transobturator sling surgery (TVT-O) and to evaluate the effects of surgical failure and complications on QoL.
We analyzed the data from women who underwent TVT-O for USI and completed two validated QoL questionnaires, the Urogenital Distress Inventory (UDI-6) and Incontinence Impact Questionnaire (IIQ-7) preoperatively and at least 12 months postoperatively. We evaluated the subjective results of QoL questionnaires, objective results and compare the effect of QoL on those with surgical failure and complications after TVT-O surgery.
A total of 78 women were followed for a median of 13.5 months (range 12-15 months) after surgery. Within this group, 75 (96%) were considered subjectively cured or improved after TVT-O. There were significant improvements in the IIQ-7 and total UDI-6 scores postoperatively, as well as in the UDI-6 subscales for urge, stress and voiding dysfunction symptoms. Even the 18 women with objective urodynamic failure had significant improvement in QoL scores. For those with surgical related complications, the QoL scores were also significantly improved.
TVT-O for USI resulted in improvement of incontinence-related QoL including urgency, stress, and voiding dysfunction symptoms. Surgical failure and complications didn't impair postoperative QoL.
报告经闭孔尿道中段无张力悬吊术（TVT - O）治疗女性压力性尿失禁（USI）后失禁相关生活质量（QoL）的客观结果、主观测量情况，并评估手术失败及并发症对生活质量的影响。
我们分析了因USI接受TVT - O手术且术前及术后至少12个月完成两份经过验证的生活质量问卷的女性数据，这两份问卷分别是泌尿生殖系统困扰量表（UDI - 6）和尿失禁影响问卷（IIQ - 7）。我们评估了生活质量问卷的主观结果、客观结果，并比较了TVT - O手术后手术失败和并发症患者的生活质量情况。
共有78名女性在术后中位随访时间为13.5个月（范围12 - 15个月）。在该组中，75名（96%）女性在TVT - O手术后主观上被认为治愈或改善。术后IIQ - 7和UDI - 6总分以及UDI - 6中尿急、压力性和排尿功能障碍症状的子量表均有显著改善。即使是18名客观尿动力学检查失败的女性，其生活质量评分也有显著改善。对于有手术相关并发症的患者，生活质量评分也有显著改善。
TVT - O治疗USI可改善包括尿急、压力性和排尿功能障碍症状在内的失禁相关生活质量。手术失败和并发症并未损害术后生活质量。
