Psychological changes before and after TVT-O in the treatment of female stress urinary incontinence
10.3760/cma.j.issn.1000-6702.2013.08.002
- VernacularTitle:无张力经阴道尿道中段悬吊术治疗女性压力性尿失禁患者的心理变化研究
- Author:
Xin LI
;
Jianlong WANG
;
Yaoguang ZHANG
;
Ying HAN
;
Ben WAN
;
Jianye WANG
- Publication Type:Journal Article
- Keywords:
Suburethral slings;
Urinary incontinence,stress;
Female;
Anxiety;
Depression
- From:
Chinese Journal of Urology
2013;34(8):572-574
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the treatment results and psychological changes in female patients with stress urinary incontinence (SUI) before and after TVT-O.Methods Fifty-six female patients with SUI underwent TVT-O from Nov.2011 to Mar.2012.Preoperative and postoperative International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF) score,Incontinence Quality of Life Questionnaire (I-QOL) score,one hour urine pad test,Self-rating Anxiety Scale (SAS) score,and Self-rating Depression Scale (SDS) score were recorded and analyzed.Results Followed up for 3 months,the subjective satisfactory rate was 94.6％ (53/56),the objective efficiency rate was 91.1％ (51/56),and there was no recurrence in this group.Before operation and 3-month after operation,ICIQ-SF scores were 15.9±3.2(13-20) and 8.6±2.7 (4-13),t=6.02,P=0.01 ; I-QOL scores were 40.3±18.9 (33-62) and 87.6±11.2(76-102),t=6.81,P=0.01; The urine leakages in one hour urine pad test were 26.7±7.1 (9-51)g and 5.2±2.5 (1-8)g,t=7.13,P=0.00; SAS scores were 59.3±8.3 (48-72) and 42.6±4.6 (39-52),t=9.15,P =0.01; SDS scores were 57.2±5.6 (49-69) and 40.2±3.4 (36-54),t=8.63,P=0.01,respectively.No serious and long-term complication occurred.Conclusions TVT-O is a safe and effective treatment option for female SUI.This treatment can improve the quality of life and psychological status of the patients.
