A prospective observational study of lower urinary tract symptoms before and after surgical removal of a large pelvic mass

Cvach, Kristina; Dwyer, Peter; Rosamilia, Anna; Lim, Yujin; Schierlitz, Lore

doi:10.1007/s00192-014-2463-1

Cited by 13 publications

(20 citation statements)

References 12 publications

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“…A prospective case‐control survey followed 40 women with symptomatic fibroids for 1 year after surgical intervention and documented improvement in condition‐specific questionnaire scores for urinary function. Another small prospective observational study of 29 women showed a similar mean reduction of urinary symptoms on the UDI short form by 66% after removal of any pelvic mass (including fibroids) greater than 7 cm at preoperative ultrasound (U/S) assessment . In our study, all types of debulking procedures produced a similar improvement in urinary symptoms.…”

Section: Discussionsupporting

confidence: 79%

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Fibroid surgery and improvement in bladder symptoms: The FAB study

Houlihan

Koenig

Friedman

et al. 2018

Neurourology and Urodynamics

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Section: Discussionsupporting

confidence: 79%

“…In our study, 96.6% of women presenting for surgical management of fibroids had a bothersome bladder symptoms. This is higher than previously reported and likely due to the high sensitivity of our detailed questionnaire.…”

Section: Discussioncontrasting

confidence: 64%

Fibroid surgery and improvement in bladder symptoms: The FAB study

Houlihan

Koenig

Friedman

et al. 2018

Neurourology and Urodynamics

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“…11 Two studies (n=145) reported on IIQ-7 scores after uterine artery embolization, 23,29 two (n=424) after high-intensity focused ultrasonography, 27,28 and three after hysterectomy or surgical intervention (n=173). 23,26,30 Overall, there was an improvement in mean score after intervention (summary mean change in score −10.7, 95% CI −15.8 to −5.6, I 2 =69%) (Fig. 3).…”

Section: Resultsmentioning

confidence: 94%

“…Six studies of moderate-to-high quality reported on change in IIQ-7 score after intervention, including one RCT and five single-arm studies (Appendix 2, http://links.lww.com/AOG/D227) 23,26–30 (Fig. 3).…”

Section: Resultsmentioning

confidence: 99%

Changes in Pelvic Floor Symptoms After Procedural Interventions for Uterine Leiomyomas

Gupta

Balk

Lenger

et al. 2023

Obstetrics &Amp; Gynecology

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OBJECTIVE: To conduct a systematic review to evaluate the effect of procedural interventions for leiomyomas on pelvic floor symptoms. DATA SOURCES: PubMed, EMBASE, and ClinicalTrials.gov were searched from inception to January 12, 2023, searching for leiomyoma procedures and pelvic floor disorders and symptoms, restricted to primary study designs in humans. METHODS OF STUDY SELECTION: Double independent screening for studies of any study design in all languages that reported pelvic floor symptoms before and after surgical (hysterectomy, myomectomy, radiofrequency volumetric thermal ablation) or radiologic (uterine artery embolization, magnetic resonance-guided focused ultrasonography, high-intensity focused ultrasonography) procedures for management of uterine leiomyomas. Data were extracted, with risk-of-bias assessment and review by a second researcher. Random effects model meta-analyses were conducted, as feasible. TABULATION, INTEGRATION, AND RESULTS: Six randomized controlled trials, one nonrandomized comparative study, and 25 single-group studies met criteria. The overall quality of the studies was moderate. Only six studies, reporting various outcomes, directly compared two procedures for leiomyomas. Across studies, leiomyoma procedures were associated with decreased symptom distress per the UDI-6 (Urinary Distress Inventory, Short Form) (summary mean change −18.7, 95% CI −25.9 to −11.5; six studies) and improved quality of life per the IIQ-7 (Incontinence Impact Questionnaire, Short Form) (summary mean change −10.7, 95% CI −15.8 to −5.6; six studies). There was a wide range of resolution of urinary symptoms after procedural interventions (7.6–100%), and this varied over time. Urinary symptoms improved in 19.0–87.5% of patients, and the definitions for improvement varied between studies. Bowel symptoms were inconsistently reported in the literature. CONCLUSION: Urinary symptoms improved after procedural interventions for uterine leiomyomas, although there is high heterogeneity among studies and few data on long-term outcomes or comparing different procedures. SYSTEMATIC REVIEW REGISTRATION: PROSPERO, CRD42021272678.

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“…To determine what issues should be addressed in a survey for patients with sacral tumors, we hypothesized the existence of six domains based on the current literature: mental health, physical health, pain, gastrointestinal symptoms, sexual function, and urinary incontinence [6, 7, 27, 36, 39, 41, 45]. To assess content validity, we contacted 80 patients (of whom 32 responded, i.e.…”

Section: Methodsmentioning

confidence: 99%

What questionnaires to use when measuring quality of life in sacral tumor patients: the updated sacral tumor survey

et al. 2017

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Background context Patient reported outcomes are becoming increasingly important when investigating results of patient and disease management. In sacral tumor patients symptoms can vary substantially, therefore no single questionnaire can adequately account for the full spectrum of symptoms and disability. Purpose The purpose of this study is to analyze redundancy within the current sacral tumor survey and make a recommendation for an updated version based on the results and patient and expert opinions. Study design/setting A survey study from a tertiary care orthopaedic oncology referral center was used for this study. Patient sample The patient sample included 70 patients with sacral tumors (78% chordoma). Outcome measures The following ten questionnaires included in the current sacral tumor survey were evaluated: the Patient Reported Outcomes Measurement Information System (PROMIS) Global Item short form, PROMIS Pain Intensity short form, PROMIS Pain Interference short form, PROMIS Neuro-QOL v1.0 Lower Extremity Function short form, PROMIS v1.0 Anxiety short form, the PROMIS v1.0 Depression short form, the International Continence Society (ICS) Male short form, the Modified Obstruction-Defecation Syndrome (MODS) questionnaire, the PROMIS Sexual Function Profile v1.0, and The Stoma Quality Of Life tool. Methods We performed an exploratory factor analysis to calculate possible underlying latent traits. Spearman rank correlation coefficients were used to measure to what extent the questionnaires converged. We hypothesized the existence of six domains based on current literature: mental health, physical health, pain, gastrointestinal symptoms, sexual function, and urinary incontinence. To assess content validity, we surveyed 32 patients, nine orthopaedic oncologists, one medical oncologist, one radiation oncologist, and an orthopaedic oncology nurse practitioner with experience in treating sacral tumor patients on the relevance of the domains. Results Reliability as measured by Cronbach alpha ranged from 0.65 to 0.96. Coverage measured by floor and ceiling effects ranged from 0 to 52% and from 0 to 30%, respectively. Explanatory factor analysis identified three traits to which the questionnaires that were expected to measure a similar construct correlated the most; mental health, physical function, and pain. Content validity index demonstrated low disagreement among patients (range: 0.10 to 0.18) and high agreement among physicians (range: 0.91 to 1.0) on the relevance of the proposed domains. Social health was identified by 50% of the commenting patients as an important yet missing domain. Conclusions The current sacral tumor survey is incomplete, time consuming, and not all surveys are appropriate for the sacral tumor population. Our recommended survey contains less than half the questions and includes the newly recognized domain social health.

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A prospective observational study of lower urinary tract symptoms before and after surgical removal of a large pelvic mass

Abstract: This study provides evidence that the majority of LUTS present preoperatively improve significantly or resolve completely following removal of a ≥ 7-cm pelvic mass.

Cited by 13 publications

References 12 publications

Fibroid surgery and improvement in bladder symptoms: The FAB study

Fibroid surgery and improvement in bladder symptoms: The FAB study

Changes in Pelvic Floor Symptoms After Procedural Interventions for Uterine Leiomyomas

What questionnaires to use when measuring quality of life in sacral tumor patients: the updated sacral tumor survey

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