The Effect of Study Methodology on Reported Success Rates of the Modified Pereyra Bladder Neck Suspension

Sirls, Larry; Keoleian, Charles M.; Korman, Howard; Kirkemo, Aaron

doi:10.1097/00005392-199511000-00042

Cited by 9 publications

(8 citation statements)

References 6 publications

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“…A 5-year follow-up study of the TVT [7] reported that 85% of 85 patients were subjectively and objectively cured, 11% were significantly improved, and 5% were regarded as failures. It has been reported that surgical outcomes vary greatly depending on the study methodology used and are subject to the surgeon's bias toward reporting success [8,9]. It is further reported that the objective cure rate tends to be higher than the subjective one [10].…”

Section: Introductionmentioning

confidence: 99%

Quality of life assessments in women operated on by tension-free vaginal tape (TVT)

et al. 2004

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The aim of the study was to evaluate quality of life (QOL) prospectively in women who undergo tension-free vaginal tape (TVT) operation for stress urinary incontinence. Sixty-six women who completed QOL questionnaires and a 2-year follow-up examination were included. Improvement of health-related QOL was assessed by the Incontinence Impact Questionnaire-7 (IIQ-7), the Urogenital Distress Inventory-6 (UDI-6), and two questions regarding patient satisfaction and de novo urge incontinence. Prior to surgery, patients complained most of stress symptoms followed by physical activities and emotional health. Postoperatively IIQ-7 and UDI-6 as a whole and all seven domains improved significantly (p<0.001). Scores of IIQ-7, UDI-6, and seven domains did not differ between the adult and the elderly groups. Of the patients 88% were much satisfied or satisfied with surgical outcomes. Incidence of de novo urge incontinence was 12%. It is concluded that the TVT procedure significantly improved health-related quality of life.

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Section: Introductionmentioning

confidence: 99%

Quality of life assessments in women operated on by tension-free vaginal tape (TVT)

et al. 2004

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“…Additionally, the results of the questionnaire were evaluated by the urologist who did not operate upon the investigated patients, which additionally might reduce bias. The mailed questionnaire method is characterized by a lower reported success rate detection than retrospective chart review [11] and this difference may be as high as 25% [20]. The response rate of 75% we achieved is high comparing our experience with previous studies, when it usually approximated 50%.…”

Section: Discussionmentioning

confidence: 73%

Long-Term Subjective Results of Marshall-Marchetti-Krantz Procedure

Czaplicki¹,

Dobroński²,

Torz³

et al. 1998

European Urology

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“…The evaluation of surgical procedures for stress urinary incontinence is hampered by different diagnostic criteria for SUI and different study methodology [17], different patient populations with regard to prior or concomitant pelvic surgery, age, weight, childbearing history, hormonal replacement therapy, medical conditions etc. and different modifications of so-called standard procedures.…”

Section: Discussionmentioning

confidence: 99%

Needle suspension of the bladder neck for stress urinary incontinence: objective results at 11 to 16 years

2006

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We analyzed the objective and subjective long-term outcomes of women who underwent needle suspension of the bladder neck 11 to 16 years previously. A total of 132 women underwent a needle suspension procedure at our institution between 1986 and 1991. In a retrospective cohort study, 63 of these women were evaluated by clinical examination, urodynamic testing, cough stress test, and standardized personal interview. Objective continence was defined as no loss of urine either during cystometry or during coughing with the bladder filled to 300 ml. The objective continence rate was 56% (25/45) and the subjective continence rate was 41% (26/63). With regard to patient satisfaction, only 38% (24/63) of the studied patients considered themselves completely cured, and an additional 30% (19/63) improved. The objective and subjective long-term results of needle suspension of the bladder neck are modest. Long-term complications such as urinary retention and overactive bladder syndrome are rare.

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The Effect of Study Methodology on Reported Success Rates of the Modified Pereyra Bladder Neck Suspension

Abstract: This study controls for patient selection, definition of cure and length of followup, and demonstrates that study methodology profoundly affects reported outcomes for the modified Pereyra bladder neck suspension.

Cited by 9 publications

References 6 publications

Quality of life assessments in women operated on by tension-free vaginal tape (TVT)

Quality of life assessments in women operated on by tension-free vaginal tape (TVT)

Long-Term Subjective Results of Marshall-Marchetti-Krantz Procedure

Needle suspension of the bladder neck for stress urinary incontinence: objective results at 11 to 16 years

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