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Patient satisfaction after retropubic and transobturator slings: first assessment using the Incontinence Outcome Questionnaire (IOQ)

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Abstract

Introduction and hypothesis

The aim of the Incontinence Outcome Questionnaire (IOQ) is to assess quality of life and patient-reported outcome after midurethral slings.

Methods

In this retrospective study, 626 patients with a minimum follow-up period of 1 year were sent the IOQ. Four hundred twenty-two of 626 (67.4%) patient responses were evaluated.

Results

The mean IOQ QoL extended score was 33.7 ± 17.5 and comparable for tension-free vaginal tape (TVT), outside-in transobturator tape (TOT), and inside-out transobturator vaginal tape (TVT-O). Evaluation of IOQ question about readmission revealed a total of 32 patients (18 TVT, 12 TOT, and 2 TVT-O) who underwent a subsequent operation due to sling-related complications. Freedom from reoperation for recurrent SUI at 1, 2, and 5 years was 100%, 99.7 ± 0.3%, and 99.7 ± 0.3% for TVT, 100% for TVT-O, and 94.2 ± 2.5%, 91.9 ± 2.9%, and 89.9 ± 3.5% for TOT, respectively (p < 0.001).

Conclusions

Patient satisfaction, assessed using the IOQ, is high after retropubic and transobturator slings. In our collective, relapse incontinence is higher after TOT.

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Conflicts of interest

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Authors and Affiliations

  1. Department of Gynecology, University Hospital Zurich, Frauenklinikstrasse 10, 8091, Zurich, Switzerland

    Cornelia Betschart, David Scheiner, Eva Hess, Daniel Fink & Daniele Perucchini

  2. Obstetrics and Gynecology, Cantonal Hospital Uri, Altdorf, Switzerland

    Eva Hess

  3. Biostatistics Unit, ISPM, University of Zurich, Zurich, Switzerland

    Burkhardt Seifert

Authors
  1. Cornelia Betschart
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  2. David Scheiner
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  3. Eva Hess
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  4. Burkhardt Seifert
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  5. Daniel Fink
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  6. Daniele Perucchini
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Corresponding author

Correspondence to Cornelia Betschart.

Additional information

Cornelia Betschart and David Scheiner contributed equally to this study.

No funding was received for this study.

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Betschart, C., Scheiner, D., Hess, E. et al. Patient satisfaction after retropubic and transobturator slings: first assessment using the Incontinence Outcome Questionnaire (IOQ). Int Urogynecol J 22, 805–812 (2011). https://doi.org/10.1007/s00192-011-1366-7

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  • DOI: https://doi.org/10.1007/s00192-011-1366-7

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