Abstract
Introduction and hypothesis
Much variability exists in outcome measures used to report success of SUI surgery. We set out to evaluate outcome measures and definitions of cure in SUI surgery studies.
Methods
Outcome measures, success rates, and definition of cure were analyzed from published series and compared to recommendations by leading authorities.
Results
Ninety-one publications were analyzed. Thirty (33%) utilized solely subjective measures, four (4%) utilized only objective measures, and 57 (63%) included both. Sixty-one (67%) used symptom questionnaires, 56 (60%) QOL questionnaires, and six (7%) visual analog scale. Twelve (13%) used voiding diaries and 52 (56%) used self-reporting as an outcome measure. Objective measures: 52 (57%) cough stress test, 37 (41%) urodynamic evaluation, 28 (31%) pad testing and a combination in 33 (36%). Few studies adhered to one set of outcome recommendations.
Conclusion
Outcome measures used to evaluate success of anti-incontinence procedures lack consensus and comparability.
Access this article
We’re sorry, something doesn't seem to be working properly.
Please try refreshing the page. If that doesn't work, please contact support so we can address the problem.
Similar content being viewed by others
References
Hunskaar S, Burgio K, Clark A, Lapitan MC, Nelson R, Sillen U et al. (2005) Epidemiology of urinary and fecal incontinence and pelvic organ prolapse. Incontinence, 3rd International Consultation on Incontinence: Basic Evaluation, Paris 2005; 1:255
Anger J, Saigal C, Stothers L, Thom D, Rodriguez L, Anger L et al (2006) The prevalence of urinary incontinence among community dwelling adult women: results from the National Health and Nutrition Examination Survey. J Urol 175:601
Lose G, Fantl JA, Victor A, Walter S, Wells TL, Wyman J, Mattiasson A (1998) Outcome measures for research in adult women with symptoms of lower urinary tract dysfunction. Neurol Urodyn 17:25–262
Leach GE, Dmochowski RR, Appell RA, Blaivas JG, Hadley HR, Luber KM, Mostwin JL, O’Donnell PD, Roehrborn CG (1997) Female stress urinary incontinence clinical guidelines panel summary report on surgical management of female stress urinary incontinence. J Urol 158:875–880
Ghoniem G, Stanford E, Kenton K, Achtari C, Goldberg R, Mascarenhas T, Parekh M, Tamussino K, Tosson S, Lose G, Petri E (2008) Evaluation and outcome measures in the treatment of female urinary incontinence: International Urogynecological and Clinical Practice. Int Urogynecol J 19:5–33
Ward K, Hilton P (2002) Prospective multicenter randomized trial of tension-free vaginal tape and colposuspension as primary treatment for stress incontinence. BMJ 325:67–73
Hilton P (2002) Trials of surgery for stress incontinence-thoughts on the ‘Humpty Dumpty principle’. BJOG 109:1081–1088
Abrams P, Cardozo L, Khoury S, Wein A (2005) Incontinence 3rd International Consultation. Health, Paris 1:1589–1630
Stroup DF, Berlin JA, Morton SC, Olkin I, Williamson GD, Rennie D et al (2000) Meta-analysis of observational studies in epidemiology: a proposal for reporting. Meta-analysis Of Observational Studies in Epidemiology (MOOSE) group. JAMA 283:2008–2012
Chene G, Amblard J, Tardieu AS, Escalona JR, Villon A, Fatton B, Jacquetin B (2006) Long term results of tension free vaginal tape (TVT) for the treatment of female urinary stress incontinence. Euro J Obstet Gynecol and Reprod Biol. doi:10.1016/j.ejogrb.2006.06.009
Bakas P, Liapis A, Giner M, Creatsas G (2006) Quality of Life in relation to TVT procedure for the treatment of stress urinary incontinence. Acta Obstetrica et Gynecologica. 85:748–752
Turner Warwick R, Whiteside G (1979) About it. Urol Clin North Am 6(1):11–12
Fantl JA, Newman DK, Colling J et al (1996) Urinary incontinence in adults: acute and chronic management. Clinical Practice Guidline, No. 2, 1996 Update. Rockville, MD: US Dept of Health and Human Services. Public Health Service, Agency for Health Care Policy and Research. AHCPR Publication No. 96-0682. March 1996
Black NA, Downs SH (1996) The effectiveness of surgery for stress incontinence in women: a systematic review. BJU 78:497–510
Magali R, Farrell SA (2005) Choice of surgery for stress incontinence. J Obstet Gynaecol Can 166:964–971
Blaivas JG, Apell RA, Fantl JA, Leach G, McGuire EJ, Resnick NM, Raz S, Wein AJ (1997) Standards of efficacy for evaluation of treatment outcomes in urinary incontinence: recommendations of the Urodynamic Society. Neurourol Urodyn 16:145–147
Weber AM, Abrams P, Brubaker L, Cundiff G, Davis G, Dmochowski RR, Fisher J, Hull T, Nygaard I, Weidner AC (2001) The standardization of terminology for researchers in female pelvic floor disorders. Int Urogynecol J 12:178–186
Conflicts of interest
Peter Castillo: honorarium from AMS. Luis M. Espaillat-Rijo: None. G. Willy Davila: consultant and honoraria: Astellas, Watson, AMS; research funding: AMS, Astellas, Bulkamid.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Castillo, P.A., Espaillat-Rijo, L.M. & Davila, G.W. Outcome measures and definition of cure in female stress urinary incontinence surgery: a survey of recent publications. Int Urogynecol J 21, 343–348 (2010). https://doi.org/10.1007/s00192-009-1032-5
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00192-009-1032-5