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DOI: 10.1055/s-0037-1602292
Quality of Life and Objective Outcome in Women with Tape Division after Surgery for SUI
Publication History
Publication Date:
02 June 2017 (online)
Background:
Midurethral tapes may cause long-term complications such as voiding dysfunction, groin pain, de novo urgency or mesh erosion, which necessitate a reoperation. There is a paucity of data regarding health related quality of life in patients undergoing tape removal. The aim of the study was to evaluate quality of life (QoL) and objective outcome after midurethral tape division or excision.
Methods:
All patients who underwent a midurethral tape division for voiding difficulties, pain or therapy resistant de novo overactive bladder between 1999 and 2014 were invited for follow-up. A control group with a suburethral tape without division was established in a 1: 2 ratio and matched for age, tape used and year of tape insertion. Patients completed the Kings' Health Questionnaire, Incontinence Outcome Questionnaire, Female Sexual Function Index Questionnaire and the Patient Global Impression of Improvement score.
Results:
Tape division or excision was performed in 32 women. Overall, 15 (60%) of 25 women who were alive were available for clinical examination and completed the questionnaires. Tape division was performed for voiding dysfunction (n = 7), overactive bladder (n = 2), mesh extrusion (n = 3) and ongoing pain (n = 3). Median time to tape division/excision was 10 months. Three women in the tape division group had undergone reoperation for incontinence. At a median follow-up of 11 years (range 1 – 15) subjective SUI rate was 53% (8/15 women) in the tape division group and 17% (5/30) in the control group (p = 0.016). Objective SUI rate was 33% (4/12 women) in the tape division group and 11% (3/27) in the control group (p = 0.172). With regard to quality of life and sexual health, the study group had significantly worse scores in most domains compared to the control group.
Conclusions:
Women needing tape division or excision have lower QoL and sexual health scores compared to controls mostly because of higher subjective and objective SUI rates.