Fulfilment of patient goals after tension-free vaginal tape operation for stress urinary incontinence

Glavind, Karin; Bjørk, Jonna; Kousgaard, Sabrina Just

doi:10.1007/s00192-016-3049-x

Cited by 3 publications

(1 citation statement)

References 17 publications

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“…The patients’ general expectations of treatment were the hope of achieving improvement of their symptoms, and only a few expected a complete cure. Moreover, women indicated having specific treatment goals, such as ‘playing field hockey with my children again.’ This is in line with other studies showing that treatment goals for patients with urinary incontinence are very personal and subjective [ 30 – 34 ]. Therefore, even if PBI cure rates were significantly lower cure than for mid-urethral sling procedures, it can not be concluded that PBI would not meet patients' treatment goals.…”

Section: Discussionsupporting

confidence: 92%

Patients’ perspectives on urethral bulk injection therapy and mid-urethral sling surgery for stress urinary incontinence

et al. 2018

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Introduction and hypothesisThe aim of this study was to identify all treatment decision factors that determined the preference for peri-urethral bulk injection therapy (PBI) or mid-urethral sling (MUS) surgery in patients with primary stress urinary incontinence (SUI). Second, we explored what patients expect from treatment for SUI and whether patients would consider PBI as a primary treatment option.MethodsIn a qualitative design, 20 semi-structured, face-to-face interviews were conducted in women with primary SUI. Exclusion criteria were: previous PBI or MUS surgery; predominating urgency. Interviews were guided by three open-ended questions and a topic list. PBI treatment and MUS surgery were described in detail, and the efficacy was stated as 70% and 90%, respectively. Data saturation was reached when no new treatment decision factors were identified in three consecutive interviews. Interviews were audiotaped and fully transcribed. Thematic analysis by a coding process was done independently by two researchers.ResultsSixteen procedural, personal, professional, social and external treatment decision factors were identified. Regarding expectations about treatment for SUI, women believed ‘becoming dry’ was wishful thinking. The majority of patients accepted a small degree of persistent urinary incontinence after treatment. Regardless of their treatment preference, patients indicated that women should be informed about PBI as a primary treatment option.ConclusionPatients with primary SUI are open to PBI as an alternative treatment option even with lower cure rates compared with MUS surgery performed under general or spinal anesthesia. Patients indicated that women with primary SUI seeking treatment should be informed about PBI as a treatment option.

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Section: Discussionsupporting

confidence: 92%