RESULTS OF PUBOVAGINAL SLING FOR THE TREATMENT OF INTRINSIC SPHINCTERIC DEFICIENCY DETERMINED BY QUESTIONNAIRE ANALYSIS

Purpose: We evaluated by questionnaire analysis the success rate and o verall patient satisfaction after pubovaginal sling surgery, Materials and Methods: A total 40 women (mean age 65.7 years, range 45 to 79) u nderwent pubovaginal sling surgery for stress urinary incontinence due to intrinsic sphincteric deficiency. Patients completed a detailed qu estionnaire to assess voiding symptoms, urinary control and satisfacti on. Of 40 patients 37 (92,5%) returned the questionnaire, with a mean postoperative followup of 48,2 months (range. 24, to 60), Results: Pat ients with preoperative stress urinary incontinence alone were more li kely to be dry than were patients with preoperative mixed incontinence (67% versus 36%, p<0.001), Ten patients (27%) reported stress urinary incontinence recurrence. Of the patients 23 (62.2%) reported urgency symptoms at followup, with de novo urgency occurring in 4 patients. Pe rmanent retention was noted in 3 patients, including 2 with sacral are denervation. Overall patients reported 86% postoperative improvement in urinary continence, and 81% would recommend the operation, Conclusi ons: At mean 4-year followup after pubovaginal sling surgery, this out come study using a self-administered questionnaire confirms high patie nt satisfaction despite significant postoperative urgency symptoms.