QUALITY OF LIFE ASSESSMENT IN WOMEN UNDERGOING SURGERY FOR TREATMENT OF STRESS URINARY INCONTINENCE

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Dr. Swati Tomar
Dr. Jai Bhagwan Sharma
Dr. Perumal Vanamail

Abstract

Background: Surgery is the mainstay of treatment for stress urinary incontinence. The King’s Health Questionnaire (KHQ) is a useful tool in evaluating the impact of urinary incontinence on the quality of life.

Objective: In this study we assessed the subjective outcome in women with stress urinary incontinence following either Burch colposuspension or transobturator tape.

Materials and methods: This is a prospective study of 33 patients who underwent incontinence surgery either Burch Colposuspension or inside out transobturator tape (TVTO) between June 2014 and May 2016. The patients were followed up at one month and six months. The subjective outcome was assessed by KHQ after six months of surgery. Statistical analysis was carried out using statistical package SPSS IBM Version 21.0 and included receiver operating characteristics (ROC) curve to calculate a cut-off value for KHQ global score to define subjective cure.

Results: At the end of six months, objective cure was seen in 93% (31/33) and subjective cure in 90.9% (30/33) patients. There was significant improvement after the operation in the various domains of the KHQ (p value <0.01) indicating improvement in quality of life. At sensitivity of 93% and specificity of 100% corresponding cut off value was 275.

Conclusion: This study showed the usefulness of KHQ as an evaluation tool for subjective improvement after surgery for stress urinary incontinence


Keywords: Burch Colposuspension, King’s Health Questionnaire, Stress Urinary incontinence, Transobturator Tape TVT-O

Published Jan 23, 2021

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