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JOURNAL TITLE: Journal of SAFOMS
Background and objective: To assess the impact on the quality of life in patients with genuine stress urinary incontinence (GSUI) following a tension-free vaginal tape (TVT) procedure. Materials and methods: Twenty cases of GSUI managed surgically with TVT were assessed postoperatively at 1, 3, 6, and 12 months using two validated disease-specific quality of life questionnaires named incontinence impact questionnaire (IIQ-7) and urogenital distress inventory (UDI-6). The preoperative and postoperative scores were analyzed using the Wilcoxon signed ranks test. Results: The results showed significant improvement in the median scores of both IIQ-7 and UDI-6 questionnaires. The median score of IIQ-7 improved to 10.00 at 12 months as compared to 71.00 preoperatively. Similarly, the median scores of UDI-6 improved to 16.00 at the end of 12 months as compared to 55.00 preoperatively. The improvement in both the scores was found to be statistically significant by applying the Wilcoxon signed ranks test with p < 0.01. Analyzing the stress and urge subscale of UDI-6 at 12 months, an improvement of 97.2% and 45.8 % was shown respectively. Interpretations: The statistically significant decrease in the IIQ-7 and UDI-6 scores suggest definite improvement in the quality of life (QoL) of the patients at a medium-term follow up of 12 months. Conclusion: Tension-free vaginal tape is an effective method for improving the QoL in patients with GSUI.
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