Assessment of Success Rate of the Sling Operation Using Questionnaire Based Outcome Analysis in Patients with Stress Urinary Incontinence

Son, Kyoung Min; Park, Yang Il

Abstract

The result of long term follow-up of bladder neck suspension has not been promising and anatomical incontinence has been noted to combine intrinsic sphincteric deficiency in many cases. To clarify the surgical effect of sling operation, we reviewed surgical results in a group of women after the sling operation using a questionnaire based outcome analysis. Among 29 female patients who had undergone the sling operation, 22 completed the questionnaire. The mean age of the patients at the time of sling operation was 49.8 years (range: 32-64 years) and the mean duration time for observation was 10.9 months. The success rates, the patient's satisfaction and postoperative complications were assessed on a questionnaire based outcome analysis. According to the outcome analyses 16 (72.7%) patients were cured, 4 (18.2%) improved, 2 (9.1%) remained unchanged. Overall 19 (86.4%) patients were satisfied with the outcome. Complications in seven cases, were not severe in most cases and treated with symptomatic therapy except 1 of 2 retention cases. Seven patients (31.8%) were complicated by suprapubic pain (n=2), urinary retention (n=2), dyspareunia (n=2) and urgency(n=1). With questionnaire based outcome analysis the success rate of the sling operation was 86.4%. This shows that the sling operation is reasonable surgical method in female stress urinary incontinence patients irrespective of its type.