NYMC Faculty Publications
Author ORCID Identifier
http://orcid.org/0000-0001-7916-6625
DOI
10.1097/AOG.0000000000000929
Journal Title
Obstetrics and Gynecology
First Page
423
Last Page
430
Document Type
Article
Publication Date
8-1-2015
Department
Public Health
Keywords
Adult, Aged, Comparative Effectiveness Research, Female, Follow-Up Studies, Humans, Middle Aged, Patient Preference, Postoperative Complications, Postoperative Period, Surveys and Questionnaires, Time Factors, Treatment Outcome, Urinary Bladder, Overactive, Urinary Incontinence, Stress, Urologic Surgical Procedures
Disciplines
Medicine and Health Sciences
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.
Recommended Citation
Zyczynski, H., Albo, M., Goldman, H., Wai, C., Sirls, L., Brubaker, L., Norton, P., Varner, R., Carmel, M., & Kim, H. (2015). Change in Overactive Bladder Symptoms After Surgery for Stress Urinary Incontinence in Women. Obstetrics and Gynecology, 126 (2), 423-430. https://doi.org/10.1097/AOG.0000000000000929
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
Comments
At the time of publication, Dr. Kim was affiliated with New England Research Institutes in Watertown, MA.