QOL AND OBJECTIVE OUTCOME IN WOMENWITH TAPE DIVISION AFTER SURGERY FOR SUI
D. ULRICH1, A.HÖLLEIN 1, V. BJELIC-RADISIC 1, G. TRUTNOVSKY2, K. TAMUSSINO 1, T. AIGMUELLER 1;
1Med. Univ. Graz, Graz, Austria, 2Med.Univ. of Graz, Graz, Austria.
Introduction: Midurethral tapesmay cause long-term complications such as voiding dysfunction, groinpain, de novo urgency or mesh erosion, which necessitate areoperation. There is a paucity of data regarding health relatedquality of life in patients undergoing tape removal.
Objective:The aim of the study was to evaluate quality of life (QoL) andobjective outcome after midurethral tape division orexcision.
Methods: All patients who underwent a midurethraltape division for voiding difficulties, pain or therapy resistant denovo overactive bladder between 1999 and 2014 were invited forfollow-up. A control group with a suburethral tape without divisionwas established in a 1:2 ratio. Patients completed the KHQ, IOQ, andFSFI questionnaires and the PGII.
Results: Tape division orexcision was performed in 32 women. Overall, 15 (60%) of 25 women whowere alive were available for clinical examination and completed thequestionnaires. Tape division was performed for voiding dysfunction(n=7), overactive bladder (n=2), mesh extrusion (n=3) and ongoingpain (n=3). Median time to tape division/excision was 10 months. At amedian follow-up of 11 years subjective SUI rate was 53% (8/15 women)in the tape division group and 17 % (5/30) in the control group(p=0.016). Objective SUI rate was 33% (4/12 women) in the tapedivision group and 11 % (3/27) in the control group (p=0.172). Withregard to QoL and sexual health, the study group had significantlyworse scores in most domains compared to the controlgroup.
Conclusions: Women needing tape division or excisionhave lower QoL and sexual health scores compared to controls mostlybecause of higher subjective and objective SUI rates.