Neurourology & Female Urology

Abstract

Objective: The purpose of this study was to assess patient expectations of surgical outcome after preoperative sling and Burch colposuspension. Study Design: Women who selected surgery for treating stress incontinence and who consented to this randomized, surgical trial completed a preoperative questionnaire to assess expectations for the postsurgical effects of surgery on urinary incontinence-related symptoms, limitations, and emotions. Associations of expectations with a range of preoperative urinary incontinence measures were explored. Results: The most frequent preoperative symptoms were urine leakage (98%), embarrassment (88%), frequency 44%). Treatment expectations were higher for women who reported more symptom bother. As expected, most women (98%) had an expectation that urine leakage would be completely or almost completely eliminated. these symptoms after surgery. Conclusion: Patients who undergo stress incontinence surgery have high expectations regarding the outcome of incontinence surgery, which include the resolution of urgency and frequency.