NYMC Faculty Publications

Author ORCID Identifier

http://orcid.org/0000-0001-7916-6625

First Page

423

Last Page

430

Document Type

Article

Publication Date

8-1-2015

Department

Public Health

Abstract

OBJECTIVE: To assess change in overactive bladder (OAB) symptoms up to 5 years after surgery and to identify associated predictors of change from baseline.

METHODS: This is a secondary analysis of data from three multicenter urinary incontinence (UI) surgical trials of women with stress-predominant mixed UI assigned to Burch colposuspension, autologous fascial sling, or retropubic or transobturator midurethral slings. The primary outcome was improvement of 70% or greater from baseline in symptoms measured by the Urinary Distress Inventory-Irritative subscale. Surgical groups were compared within respective trials. Generalized linear models were fit using 1-year and up to 5-year data.

RESULTS: Significant improvements in UDI-I scores were reported by each surgical group one year after surgery (p

CONCLUSION: Most women with stress-predominant mixed UI experienced significant improvement in OAB symptoms after incontinence surgery although this initial improvement diminished over time. Obesity blunted symptom improvement.

LEVEL OF EVIDENCE: II.

Comments

At the time of publication, Dr. Kim was affiliated with New England Research Institutes in Watertown, MA.

Publisher's Statement

This is the accepted manuscript version of this article. The publisher's final edited version of this article is available at https://doi.org/10.1097/AOG.0000000000000929

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