Interventions and quality of life in stress urinary incontinence

Abstract

Introduction:Stress urinary incontinence (SUI), though is more prevalent than many chronic diseases, has remained largely underreported and underdiagnosed condition. We aimed to find the improvement in the quality of life (QoL) of women with SUI after individual interventions, namely mid-urethral sling (MUS), pelvic floor muscle training (PFMT), and no treatment/control group, as primary treatment modalities.Materials and Methods:This was a prospective interventional case–control study conducted at a university teaching hospital, over a period of 2 years. Parous women with at least one vaginal delivery, attending the gynecology outpatient department, were encouraged to fill the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form. Those with SUI were divided into three arms (MUS, PFMT, and no treatment/control group), according to the informed decision for choice of management. Baseline QoL was documented for all with King's Health Questionnaire. QoL was again recorded after 3 months of the start of treatment and was compared with the baseline.Results:In our study cohort, the prevalence of SUI was 15.2%, with a consultation rate of only 30.7%. MUS surgery improves QoL significantly in women with SUI, followed by PFMT. We found 100% symptomatic relief, high rate of improvement in QoL with minimal easy to manage complications, in the surgical intervention arm. PFMT, though has a positive impact on QoL, requires continuous motivation, as 22% discontinued. Without treatment, QoL in SUI patients remained more or less the same.Conclusion:The help-seeking behavior (consultation rate) for SUI is poor. MUS (surgical arm) had 100% symptom relief in 3-month follow-up. MUS showed the best results in terms of QoL improvement, followed by PFMT in SUI in our study. It is important not only to educate women about the problem but also to encourage them to seek treatment and indicate that it is a treatable condition.

Experience in application of modified sling in treatment of Moderate Stress Urinary Incontinence

“…Its incidence is about 30% in the middle-aged and old. 6 In addition to behavior therapy and pelvic floor muscle exercise, 7 the most commonly used minimally invasive treatment is transvaginal tension-free mid-urethral tape in clinic. Since reported the first case of transvaginal tension-free mid-urethral tape (TVT) in 1996, TVT has been the gold standard for the treatment of various types of urinary incontinence.…”

Surgical outcomes of tension-free vaginal tape (TVT)- abbrevo® and TVT-obturator® for the treatment of stress urinary incontinence: a retrospective study

“…The prevalence of SUI depends on its definition, and several previous studies have reported that approximately 23.8–40.8% of Korean women are affected [ 3 , 4 ]. SUI not only decreases the quality of life, leading to depression and social isolation if severe [ 5 ], but also has financial and social costs.…”

Two-year outcomes of surgeon-tailored trans obturator tape for female stress urinary incontinence: a randomized, comparative, trial with traditional trans obturator tape

“…Stress urinary incontinence (SUI) is a prevalent disorder that is characterized by leakage of urine after physical stress [ 1 ]. Surgical procedures are widely performed for women with failed conservative management or women seeking definitive treatment [ 2 ]. Mid-urethral sling (MUS) is a highly effective, minimally-invasive, surgical approach for SUI that is based on the passing of a small band of a synthetic mesh into either the retropubic space (known as tension-free vaginal tape, TVT) or through the obturator foramen (known as trans-obturator tape, TOT or TVT-O, through the inside-out route) [ 3 ].…”