ABSTRACT

Objectives:

The objective of this study is to determine patients’ satisfaction and quality of life after trans-obturator tape surgery in the setting of mixed urinary incontinence with stress urinary incontinence dominance.

Materials and Methods:

The patients who had undergone surgery of trans-obturator tape within last 5 years in our clinic were included. All patients had urodynamic evaluations preoperatively. We used incontinence impact questionnare-7 and urogenital distress inventory-6 questionnary forms. Patients were only asked for one-word comment on their satisfaction with the operation: “Satisfied” or “unsatisfied”. Also we used visual analog scale 0 to 10 for their satisfaction (happy or unhappy) for trans-obturator tape operation.

Results:

Thirty-three women included in our study. Median follow-up was 35 months. 6% of them had early postvoiding residual volume of 50 to 100 mL. None reported to have stress urinary incontinence as preoperatively during follow-up. 60% of them were happy/satisfied for having trans-obturator tape operation. This group’s median visual analog scale score was 10.40% of them were unhappy/unsatisfied for having transobturator tape operation. This group’s median visual analog scale score was one.

Conclusion:

Unsatisfied rate is high for trans-obturator tape performed for stress dominant mixed urinary incontinence, though successful surgery. This might be unmet preoperative over-expectations of patients like being dry with surgery for all components mixed urinary incontinence or failure of surgeons to inform well about the surgical outcomes.