Abstract
Introduction and hypothesisMidurethral sling (MUS) surgeries are minimally invasive procedures; however, they are not free of postoperative complications. The aim of the study was to assess the occurrence of lower urinary tract symptoms (LUTS) (urgency, nocturia, frequency, splitting/spraying, hesitancy, terminal dribbling, and subjective feeling of postvoid residual) in patients suffering from stress (SUI) or mixed (MUI) urinary incontinence with a predominant SUI component before and after transobturator MUS placement.MethodsThe study group consisted of 88 women with SUI and 18 with MUI who underwent transobturator MUS. All participants were questioned with a self-developed questionnaire before and after surgery regarding the presence of LUTS.ResultsSeven days after surgery, 62 patients (58.5%) noted voiding and postmicturition symptoms, whereas 67 (63.2%) reported problems in storage. The more commonly reported LUTS at week 1 after surgery were urgency (52.8%), splitting/spraying (41.5%), and feeling of incomplete bladder emptying (34.0%). Patients perceived that splitting/spraying was the most bothersome. After 6 months, the most common LUTS reported were hesitancy (14.1%), terminal dribbling (10.4%), and splitting/spraying (9.4%). We noticed a decrease in the number of urgency episodes >2.7 times (p < 0.001) compared with baseline. After 6 months, 97 (91.5%) patients reported the lack of incontinence episodes.ConclusionsA vast majority of patients after MUS suffer from LUTS in the early postoperative period; however, the majority of undesired symptoms resolve spontaneously within the first 6 months postsurgery.
Highlights
Introduction and hypothesisMidurethral sling (MUS) surgeries are minimally invasive procedures; they are not free of postoperative complications
A vast majority of patients after midurethral sling (MUS) suffer from lower urinary tract symptoms (LUTS) in the early postoperative period; the majority of undesired symptoms resolve spontaneously within the first 6 months postsurgery
The authors found that the overall 30-day rate of any complications was as low as 3.52%. Taking these data into consideration, it is obvious that any unwanted LUTS occurring after anti-incontinence surgery will decrease patients’ satisfaction, and variable information concerning LUTS occurrence and its natural evolution after the MUS procedure is of pivotal clinical importance
Summary
Introduction and hypothesisMidurethral sling (MUS) surgeries are minimally invasive procedures; they are not free of postoperative complications. A published detailed analysis of 8772 patients from the National Prospective Database who had undergone MUS procedures focused on the 30-day morbidity and reoperation rate This was stratified by the specialty of performing surgeon (urologists and gynecologists) [8]. The authors found that the overall 30-day rate of any complications was as low as 3.52% Taking these data into consideration, it is obvious that any unwanted LUTS occurring after anti-incontinence surgery will decrease patients’ satisfaction, and variable information concerning LUTS occurrence and its natural evolution after the MUS procedure is of pivotal clinical importance. The aim of our study was to estimate the presence and de novo occurrence of LUTS before and after transobturator MUS placement in patients suffering from stress (SUI) or mixed (MUI) urinary incontinence with a predominant SUI component, and its natural evolution (first 7 days, 6 weeks, and 6 months after surgery). We investigated patients’ postoperative satisfaction with surgery using the Likert scale [9]
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