Assessment of the Quality of Life in Patients with Genuine Stress Urinary Incontinence Treated by Tension-free Vaginal Tape

JOURNAL TITLE: Journal of SAFOMS

Author
1. Aruna Batra
2. Sugandha Agarwal
ISSN
2319-846X
DOI
10.5005/jp-journals-10032-1174
Volume
7
Issue
2
Publishing Year
2019
Pages
5
Author Affiliations
    1. Department of Obstetrics and Gynecology, Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi, India
    1. VMMC and Safdarjung Hospital, New Delhi, India
    2. Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
  • Article keywords
    Quality of life, Stress urinary incontinence, Tension-free vaginal tape

    Abstract

    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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