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  1. Impact of surgery for stress incontinence on morbidity : cohort study.

    Article - En anglais

    Objectives 

    To describe the impact of surgery for stress incontinence on the severity of symptoms, other mental and physical symptoms, and overall health.

    To describe the incidence of postoperative complications.

    Design 

    Prospective cohort study ; questionnaires completed by patients before and 3,6, and 12 months after surgery.

    Questionnaires completed by surgeons both before and after surgery.

    Setting 

    18 hospitals in the North Thames region.

    Subjects 

    442 women treated surgically for stress incontinence between January 1993 and June 1994. 367 women returned the 3 month questionnaire ; 364 returned the 6 month questionnaire ; and 359 returned the 12 month questionnaire. 49 surgeons provided perioperative information on 285 of the 442 women and postoperative information on 278.

    Main outcome measures 

    Stress incontinence symptom severity index, other urinary symptoms, bowel function, mental health, complications, global measures.

    Results 

    Most women (288 ; 87%) reported an improvement in the severity of their stress incontinence, though only 92 (28%) were cured (continent).

    These improvements persisted for at least 12 months.

    The likelihood of improvement was similar regardless of whether urodynamic pressure studies had been conducted before surgery.

    Following surgery, women were less likely to suffer from urinary frequency, nocturia, postvoid fullness, dysuria, and urgency.

    While mental health improved for 194 (71%), a quarter of women reported deterioration. (...)

    Mots-clés Pascal : Incontinence urinaire, Stress, Morbidité, Incidence, Epidémiologie, Chirurgie, Complication, Postopératoire, Homme, Femelle, Royaume Uni, Europe, Etude cohorte, Appareil urinaire pathologie, Voie urinaire pathologie, Vessie pathologie, Trouble miction

    Mots-clés Pascal anglais : Urinary incontinence, Stress, Morbidity, Incidence, Epidemiology, Surgery, Complication, Postoperative, Human, Female, United Kingdom, Europe, Cohort study, Urinary system disease, Urinary tract disease, Bladder disease, Voiding dysfunction

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0043430

    Code Inist : 002B25H. Création : 17/04/1998.