abstract367 - QOL AND OBJECTIVE OUTCOME IN WOMEN WITH TAPE DIVISION AFTER SURGERY FOR SUI
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.