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abstract

397 - EVALUATION OF THE QUALITY OF LIFE OF PATIENTS UNDERGOING SURGICAL TREATMENT FOR RECURRENT STRESS URINARY INCONTINENCE

397

EVALUATION OF THE QUALITY OF LIFE OFPATIENTS UNDERGOING SURGICAL TREATMENT FOR RECURRENT STRESS URINARYINCONTINENCE

E. CORTES, X. NETZAHUALCOYOTZI,J. MARIN;
Urogynecology and Reconstructive Pelvic Surgery, UMAE"Luis Castelazo Ayala" IMSS, Mexico City, Mexico.

Introduction:  StressUrinary incontinence is considered a universal problem, since it hasa significant impact on the women that suffer it. Up to 15% of thewomen require an additional secondary treatment for the recurrentstress urinary incontinence. Therefore is necessary to know theimpact on the quality of life in this group of patients.
Objective:To assess the results of the surgical treatment for the correction ofrecurrent stress urinary incontinence over the quality of life ofpatients, through its assessment before and after the surgicalprocedure
Methods:  A comparative, retrospective,longitudinal, and analytic study was performed over a period of 12months. 19 patients with recurrent stress urinary incontinence thatundergone surgical treatment were included in the study. After priorinformed consent for the study, the patients answered questionnairesICIQ-SF and QUID in their validated Spanish versions, before andafter surgical treatment. All other information was obtained from themedical record of each patient.
Results: The variation inthe quality of life has a statistical significant difference inquestionnaires ICIQ-SF and QUID (p<0.001). The average age of thepatients was 57 years of age. Most of the patients that underwent theprocedure were overweight (47%), followed by patients with obesitygrade I (26%). No correlation was found between the mean urethralclosure pressure and the recurrence of the srtess urinaryincontinence in the postoperative, and the results obtained were notstatistically significant. The association between the urethralhypermobility and urinary stress incontinence was not statisticallysignificant, due to the small number of patients included in ourstudy. It was found that 16% of the population experienced failure ofthe surgical treatment for recurrent stress urinary incontinence 3months after the operation. Upon comparing the failure rate with thetype of surgery, no significant correlation was found. The successrate after surgical treatment was 85%
Conclusions: Surgeryfor the correction of recurrent srtess urinary incontinence improvesquality of life for the patients. The use of questionnaires allowsobtaining an objective measurement of the improvement in thepatients’ quality of life when they are subjected to surgicaltreatment. According to the variables that are associated withrecurrent srtess urinary incontinence, in the population studied itwas found that the body mass index, the urethral hypermobility, thetype of surgery performed, and the mean urethral closure pressurewere not related to the faillure after the surgery. However, it wouldbe important to provide follow-up of this group of patients inperiods of 6 months, 1 year, and 5 years in order to determine if thestatistical significance persists over time
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