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THE IMPACT
OF TENSION FREE VAGINAL TAPE(TVT) ON QUALITY OF LIFE FOR PATIENTS
WITH STRESS URINARY INCONTINENCE
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Authors:
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A.Tamura1), E.Yokoyama1),
S.Baba1), J.Fukui2), M.Gotoh3), K.Katou4), M.Takei5), M.Nakata6),
A.Kondo7)
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Institution:
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Department of Urology,school
of Medicine,Kitasato University,Sagamihara1), St.Luke's Hospital,Tokyo2),Department
of Urology,Nagoya University,Nagoya3), Red Cross Nagoya First Hospital,Nagoya4),
Hara Sanshin Hospital,Fukuoka5), Tokyo Metropolitan police Hospital,Tokyo6),
Komaki Municipal Hospital,Nagoya7), Japan.
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Aims of study:
Recently, TVT has been frequently conducted to treat the patients with stress
urinary incontinence(SUI) instead og the other procedure. The aim of study was
to evaluate the improvement of Quality of life(QOL) for patients with stress
urinary incontinence after TVT.
Methods:
A prospective multi-institutional study was performed in 183 patients with pure
SUI(93.2%) and mixed type(stress and urgent incontinence, 6.8%). All of these
patients underwent TVT surgery between April 1998 and July 1999. We used the
short forms of the Incontinence Impact Questionnaire(IIQ-8) and the Urogenital
Distress Inventory(UDI-6)1) scores to assess the QOL of patients. the improvement
of QOL score(k) of these questionnaires was calculated as follows; k=(pre operation
total score)-(post operation 3 months total score) (pre operation total score)
k60%:excellent, 30%k<60%:better, 0%k<30%:no change, k<0:worse
Results:
One hundred and fourteen of 183 patients were underwent a completely evaluated
after 3months surgery. 0ne hundred of 114 (82.1%)patients completely Dry after
surgery and 11.6% showed SUI only at active movement. The mean of total QOL
score at 3 month follow up was significantly improved(2.4) compared to before
opetration(16.5,p<0.0001). The k score showed as an excellent improvement after
surgery noted in 101(88.6%) patients, better in 9(7.9%)patients, no change in
2 (1.8%) patients and worse in 2 (1.8%)patients,respectively.
Conclusions:
The patients with SUI who underwent TVT surgery showed excellent improvement
of QOL at 3 months follow up. These results shouwed that TVT was comfortable
and reliable procedure for treating the patients with SUI.
Reference:
1.@Uebersax J S, Wyman JF, Shumaker SA, McClish DK. Short Form to Assess Life
Quality and Symptom Distress for Urinary Incontinence in Women: The Incontinence
Impact Questionnaire and the Urogenital Distress Inventory. Neurourology and
Urodynamics 14:131-139,1995