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Predictive factors of the outcome of primary surgical treatment of stress incontinence in women
Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Obstetrik och gynekologi.
Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Psykiatri.
Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Obstetrik och gynekologi.
Umeå universitet, Medicinska fakulteten, Institutionen för klinisk vetenskap, Obstetrik och gynekologi.
1997 (engelsk)Inngår i: Scandinavian Journal of Urology and Nephrology, ISSN 0036-5599, E-ISSN 1651-2065, Vol. 31, nr 1, s. 49-55Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Forty-five women with stress incontinence (mean age 50 years) scheduled for surgical treatment randomized either to retropubic urethrocystopexy or to pubococcygeal repair were prospectively studied. Fifty healthy women were used as a reference group. No difference emerged concerning the outcome for these two surgical techniques in terms of success rate. Consequently, the subjects were treated as one group. The aim of the study was to test for predictive factors of the outcome of surgical treatment. Age of the patient, duration of stress incontinence, parity, personality, psychological and social factors were investigated. The outcome of surgical treatment was estimated both subjectively and objectively (pad test). The women were classified as cured or improved/failure. There was an 80% concordance between subjective and objective methods. In the stress incontinent women who were improved/failure one year after surgery, a high degree of neuroticism, low degree of extraversion, high degree of somatic anxiety, psychic anxiety, psychasthenia and suspicion was observed compared to the cured women. Furthermore, the improved/failure women had a lower level of social integration, in terms of loneliness compared to the cured women. Our findings point to the need of psychosocial support and care in addition to the medical treatment. According to a stepwise logistic regression analysis three variables have been found of importance as predictors of the outcome of the surgical treatment: duration of stress incontinence, neuroticism and age of patient.

sted, utgiver, år, opplag, sider
1997. Vol. 31, nr 1, s. 49-55
Emneord [en]
SUI, surgical treatment, predictive factors
Identifikatorer
URN: urn:nbn:se:umu:diva-41782PubMedID: 9060084OAI: oai:DiVA.org:umu-41782DiVA, id: diva2:407771
Tilgjengelig fra: 2011-04-01 Laget: 2011-04-01 Sist oppdatert: 2018-06-08bibliografisk kontrollert
Inngår i avhandling
1. A holistic view of urinary stress incontinence in women
Åpne denne publikasjonen i ny fane eller vindu >>A holistic view of urinary stress incontinence in women
1995 (engelsk)Doktoravhandling, med artikler (Annet vitenskapelig)
Abstract [en]

The present study group consists of 45 women with genuine stress incontinence who were selected for surgical treatment and randomized either to retropubic urethrocystopexy (n=30) or pubococcygeal repair (n=15). The preoperative assessment included medical history, gynecological examination, urine analysis and culture, residual urine, pad test, frequency-continence charts, water urethrocystoscopy, continence test and cystometry with analysis of micturition. Moreover, five semistructured interviews were performed with the women and two with their partner. The following questionnaires were used measuring a) personality characteristics: Karolinska Scales of Personality (KSP), Eysenck Personality Inventory (EPI), b) depression: Beck Depression Inventory (BDI) and c) social support: Interview Schedule for Social Interaction (ISSI).

The results have shown that there was no difference in the subjective cure rate between the two surgical methods (73% vs. 80 % respectively). The bladder volume had increased in both groups and the intravesical pressure of the bladder filled to maximum had increased in the pubococcygeal repair group. Other urodynamic variables were unchanged by the operation. Pad tests have demonstrated that 67 % of the women in the urethrocystopexy group and 47 % in the pubococcygeal repair group ceased to leak urine. Postoperatively, 63 % of the women in the urethrocystopexy group needed high doses of analgesics compared with only 33 % in the pubococcygeal repair group. Among the women experiencing severe to very severe pain dysphoric subjects were overrepresented. Postoperative residual urine was a minor nursing problem in both groups.

Women with SUI of long duration scored significantly higher than controls on the KSP scales of somatic anxiety, psychic anxiety, psychasthenia, suspicion and on the EPI lie-scale. There was no significant difference in sexual activity before and after surgery. One or two sexual dysfunctions within the desire, excitement, orgasmic and resolution phase were reported by the majority of women both before and after surgical intervention.

The cured women reported a higher level of overall activities before surgery than the improved (i.e. not cured) women, whereas post surgery both the cured and the improved women obtained about the same level of activities. Regarding social support, no differences between the cured or improved women occured as concerns attachment. The cured women showed a higher degree of adequacy of social integration compared with the improved women.

In order to delineate predictive factors for the surgical outcome the following variables were investigated: age of patient, duration of urine leakage, parity, personality, psychological and social factors. The following predictors of the outcome of surgical treatment emerged: duration of stress incontinence, neuroticism and age of patient.

The results of the present study indicate the ecessity of a multidisciplinary approach to the treatment and nursing of women with SUI.

sted, utgiver, år, opplag, sider
Umeå: Umeå University, 1995. s. 41
Serie
Umeå University medical dissertations, ISSN 0346-6612 ; 443
Emneord
Stress urinary incontinence, surgical treatment, urodynamics, pad test, nursing, personality characteristics, leisure time, spouse relationship, sexuality, social network, predictors, outcome
HSV kategori
Identifikatorer
urn:nbn:se:umu:diva-96892 (URN)91-7191-086-7 (ISBN)
Disputas
1995-09-22, Rosa salen, 9 tr, Tandläkarhögskolan i Umeå, Umeå universitet, Umeå, 09:00
Prosjekter
digitalisering@umu
Merknad

Diss. (sammanfattning) Umeå : Umeå universitet, 1995

Tilgjengelig fra: 2015-01-20 Laget: 2014-12-05 Sist oppdatert: 2018-03-15bibliografisk kontrollert

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