The Changes of Voiding Pattern After Midurethral Sling Between Pure Stress Urinary Incontinence and Stress Urinary Incontinence With Overactive Bladder Group.
10.4111/kju.2014.55.6.400
- Author:
Sun Wook KIM
1
;
Woo Hyun KIM
;
Byung Il YOON
;
Yong Hyun CHO
;
Dong Wan SOHN
Author Information
1. Department of Urology, Yeouido St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea. uroking@naver.com
- Publication Type:Original Article
- Keywords:
Midurethral sling;
Overactive bladder;
Stress urinary incontinence;
Urge incontinence
- MeSH:
Animals;
Female;
Humans;
Mice;
Retrospective Studies;
Suburethral Slings*;
Urinary Bladder, Overactive*;
Urinary Incontinence*;
Urinary Incontinence, Urge
- From:Korean Journal of Urology
2014;55(6):400-404
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: The purpose of this study is to compare changes in voiding pattern after midurethral sling surgery (MUS) between the stress urinary incontinence (SUI) group and the overactive bladder (OAB)+SUI group. MATERIALS AND METHODS: From January 2008 to February 2011, a retrospective survey was conducted of 225 female patients who had been diagnosed with SUI and undergone MUS. The subjects were divided into the SUI group and the OAB+SUI group. Changes in the overactive bladder symptom score (OABSS) and American Urological Association-Symptom Index (AUA-SI) before and three months after the MUS were compared. RESULTS: Of the 225 patients, 165 patients (73.3%) were classified as SUI group, and 60 patients (26.7%) were classified as OAB+SUI group. The mean age of the subjects was 54.7 years (range, 31-80 years), and the mean age of patients was 53.9 years (range, 34-80 years), and 56.8 years (range, 31-78 years) in the SUI group and OAB+SUI group. In SUI group, voiding symptom and storage symptom among the AUA-SI were significantly increased (p<0.05). OABSS were slight increased, but was statistically insignificant (p=0.847). In OAB+SUI group, voiding symptom score and OABSS showed a significant increase (p<0.05), but storage symptom score showed an insignificant increase (p=0.790). CONCLUSIONS: OAB may occur in approximately 18% of SUI patients who undergo MUS surgery, and voiding dysfunctions with deteriorated voiding symptom and storage symptom may also occur. The deteriorated OAB was shown in 45% of SUI patients with OAB after the surgery.
