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• W2092109413 abstract "No AccessJournal of UrologyAdult Urology1 Dec 2010Factors Associated With Quality of Life in Women Undergoing Surgery for Stress Urinary Incontinence Larry T. Sirls, Sharon Tennstedt, Mike Albo, Toby Chai, Kim Kenton, Liyuan Huang, Anne M. Stoddard, Amy Arisco, and E. Ann Gormley Larry T. SirlsLarry T. Sirls Department of Urology, William Beaumont Hospital, Royal Oak, Michigan More articles by this author , Sharon TennstedtSharon Tennstedt New England Research Institutes, Watertown, Massachusetts More articles by this author , Mike AlboMike Albo Department of Urology, University of California-San Diego, San Diego, California Financial interest and/or other relationship with Allergan. More articles by this author , Toby ChaiToby Chai Department of Urology, University of Maryland, Baltimore, Maryland Financial interest and/or other relationship with Allergan, Pfizer and National Institutes of Health. More articles by this author , Kim KentonKim Kenton Departments of Obstetrics and Gynecology, Loyola University Stritch School of Medicine, Maywood, Illinois Financial interest and/or other relationship with Pfizer and Intuitive Surgical. More articles by this author , Liyuan HuangLiyuan Huang New England Research Institutes, Watertown, Massachusetts More articles by this author , Anne M. StoddardAnne M. Stoddard New England Research Institutes, Watertown, Massachusetts More articles by this author , Amy AriscoAmy Arisco Department of Urology, University of Texas Health Science Center at San Antonio, San Antonio, Texas More articles by this author , and E. Ann GormleyE. Ann Gormley Department of Urology, Dartmouth University Medical Center, Lebanon, New Hampshire Financial interest and/or other relationship with Elan, Johnson&Johnson, Stryker, Bristol-Meyers-Squibb and Proctor&Gamble. More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2010.08.019AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We determined the association of clinicodemographic factors with urinary incontinence related quality of life in women undergoing surgery for stress urinary incontinence, and compared the incontinence specific Incontinence Impact Questionnaire and the International Consultation on Incontinence Questionnaire. Secondary objectives were to evaluate the contributions of incontinence severity and sexual function on quality of life. Materials and Methods: We used baseline data on 597 women in the Trial of Mid-Urethral Slings. Tested quality of life correlates included health status and history, sexual function, and urinary incontinence type, severity and bother. Results: On each questionnaire lower quality of life was associated with younger age, higher body mass index, more stress urinary incontinence symptoms, and more severe and bothersome urinary incontinence symptoms. Each measure identified factors associated with lower quality of life that were not identified by the other, including Hispanic ethnicity, poor health status and more urge urinary incontinence symptoms on the Incontinence Impact Questionnaire, and prior urinary incontinence treatment and more urinary incontinence episodes daily on the International Consultation on Incontinence Questionnaire. Sexually active women had similar quality of life as well as increased incontinence episodes on each questionnaire and more sexual dysfunction on the Incontinence Impact Questionnaire only. Conclusions: In women planning stress urinary incontinence surgery quality of life is associated with nonurinary incontinence factors, and with the type, severity and degree of urinary incontinence symptom bother. Many factors are associated with quality of life as measured by the Incontinence Impact Questionnaire and the International Consultation on Incontinence Questionnaire. However, more nonurinary incontinence factors were associated with quality of life when measured by the former than by the latter. More than 1 scale may be needed to evaluate quality of life after treatment for stress urinary incontinence. References 1 : The quality of life in women with urinary incontinence as measured by the Sickness Impact Profile. J Am Geriatr Soc1991; 39: 378. Crossref, Medline, Google Scholar 2 : Health-related quality of life in chronic disorders: a comparison across studies using the MOS SF-36. Qual Life Res1988; 7: 57. Google Scholar 3 : Symptom and quality of life assessment. In: Incontinence. Edited by . Monaco: Heath Publications2005: 519. Google Scholar 4 : Quality of life in women with stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct2007; 18: 543. Google Scholar 5 The Trial of Mid-Urethral Slings (TOMUS): design and methodology: The Urinary Incontinence Treatment Network. J Applied Res2008; 8: 1. Google Scholar 6 : Two-year incidence, remission, and change patterns of urinary incontinence in noninstitutionalized older adults. J Gerontol1990; 45: M67. Google Scholar 7 : ICIQ: a brief and robust measure for evaluating the symptoms and impact of urinary incontinence. Neurourol Urodyn2004; 23: 322. Google Scholar 8 : Continence Program in Women (CPW) Research Group: health-related quality of life measures for women with urinary incontinence: the Incontinence Impact Questionnaire and the Urogenital Distress Inventory. Qual Life Res1994; 3: 291. Google Scholar 9 : Validation of two global impression questionnaires for incontinence. Am J Obstet Gynecol2003; 189: 98. Google Scholar 10 : A new instrument to measure sexual function in women with urinary incontinence or pelvic organ prolapse. J Obstet Gynecol2001; 184: 552. Google Scholar 11 : Short form to assess sexual function in women with urinary incontinence and/or pelvic organ prolapse: the PISQ-11. Int Urogynecol J Pelvic Floor Dysfunct2001; 12: S2. Google Scholar 12 : Validation of a Spanish version of the Pelvic Organ Prolapse Incontinence Sexual Questionnaire. Obstet Gynecol2003; 102: 1000. Google Scholar 13 : 9180-Based Nam-Powers Occupational Status Scores: Working Paper 88-48. Tallahassee: Center for the Study of Population, Florida State University1988. Google Scholar 14 : Quality of life after stress incontinence surgery. Int Urogynecol J Pelvic Floor Dysfunct2008; 19: 1631. Google Scholar 15 : Burch colposuspension versus fascial sling to reduce urinary stress incontinence. N Engl J Med2007; 356: 2143. Google Scholar © 2010 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 184Issue 6December 2010Page: 2411-2415 Advertisement Copyright & Permissions© 2010 by American Urological Association Education and Research, Inc.Keywordssuburethral slingsquestionnairesfemalequality of lifeurinary incontinenceMetrics Author Information Larry T. Sirls Department of Urology, William Beaumont Hospital, Royal Oak, Michigan More articles by this author Sharon Tennstedt New England Research Institutes, Watertown, Massachusetts More articles by this author Mike Albo Department of Urology, University of California-San Diego, San Diego, California Financial interest and/or other relationship with Allergan. More articles by this author Toby Chai Department of Urology, University of Maryland, Baltimore, Maryland Financial interest and/or other relationship with Allergan, Pfizer and National Institutes of Health. More articles by this author Kim Kenton Departments of Obstetrics and Gynecology, Loyola University Stritch School of Medicine, Maywood, Illinois Financial interest and/or other relationship with Pfizer and Intuitive Surgical. More articles by this author Liyuan Huang New England Research Institutes, Watertown, Massachusetts More articles by this author Anne M. Stoddard New England Research Institutes, Watertown, Massachusetts More articles by this author Amy Arisco Department of Urology, University of Texas Health Science Center at San Antonio, San Antonio, Texas More articles by this author E. Ann Gormley Department of Urology, Dartmouth University Medical Center, Lebanon, New Hampshire Financial interest and/or other relationship with Elan, Johnson&Johnson, Stryker, Bristol-Meyers-Squibb and Proctor&Gamble. More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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