Longitudinal trends with Improvement in Quality of Life after TVT, TVT O and Burch Colposuspension Procedures Petra

0435338 - ÚI 2015 CZ eng J - Článek v odborném periodiku
Drahorádová, P. - Martan, A. - Švabík, K. - Zvára, Karel - Otava, M. - Mašata, J.
Longitudinal trends with Improvement in Quality of Life after TVT, TVT O and Burch Colposuspension Procedures Petra.
Medical Science Monitor. Roč. 17, č. 2 (2011), CR67-CR72. ISSN 1234-1010
Výzkumný záměr: CEZ:AV0Z10300504
Klíčová slova: anti-incontinence surgery * Burch colposuspension * Incontinence Quality of Life * long-term results * Mixed Incontinence * Stress Urinary Incontinence * TVT * TVT O
Kód oboru RIV: FK - Gynekologie a porodnictví
Impakt faktor: 1.699, rok: 2010
http://www.medscimonit.com/download/index/idArt/881389

Background: Comparison of the quality of life (QoL) trends after TVT, TVT O and Burch colposuspension (BCS) procedures and comparison of long-term subjective and objective outcomes. Material/Methods: The study included 215 women who underwent a TVT, TVT O or BCS procedure. We monitored QoL after each procedure and the effect of complications on the QoL as assessed by the IQOL questionnaire over a 3-year period. Results: The study was completed by 74.5% of women after TVT, 74.5% after TVT O, and 65.2% after BCS procedure. In the long-term, the QoL improved from 46.9 to 88.7 and remained stable after BCS; after TVT and TVT O, it declined, but only after TVT O was the decline statistically significant compared to BCS. The IQOL for women with post-operative complications has a clear descending tendency. The effect of the complications is highly significant (p < 0.001). Only the OAB complication had a statistically significant effect on QoL p < 0.001. Preexistent OAB does not negatively affect postoperative results of anti-incontinence surgery. Conclusions: There was a statistically significant decline with the longitudinal values of IQOL with TVT O, but not with TVT or BCS. Anti-incontinence operations significantly improve quality of life for women with MI, but compared to the SI group, the quality of life is worse when measured at a longer time interval after the operation. Anti-incontinence operations significantly improve quality of life, and the difference in preoperative status in the long-term follow-up is demonstrable.
Trvalý link: http://hdl.handle.net/11104/0239192