Improvement of quality of life, anxiety and depression after surgery in patients with stress urinary incontinence: Resul
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Improvement of quality of life, anxiety and depression after surgery in patients with stress urinary incontinence: Results of a longitudinal short-term follow-up Petra C Innerkofler1, Verena Guenther2, Peter Rehder1, Martin Kopp2, Dominic P Nguyen-Van-Tam3, Johannes M Giesinger4 and Bernhard Holzner*4 Address: 1Department of Urology, Innsbruck Medical University, Anichstr.35, A-6020 Innsbruck, Austria, 2Department of General Psychiatry, Innsbruck Medical University, Anichstr.35, A-6020 Innsbruck, Austria, 3Centre for Occupational and Health Psychology, Cardiff University, UK and 4Department of Biological Psychiatry, Innsbruck Medical University, Anichstr.35, A-6020 Innsbruck, Austria Email: Petra C Innerkofler - [email protected]; Verena Guenther - [email protected]; Peter Rehder - [email protected]; Martin Kopp - [email protected]; Dominic P Nguyen-Van-Tam - [email protected]; Johannes M Giesinger - [email protected]; Bernhard Holzner* - [email protected] * Corresponding author
Published: 29 September 2008 Health and Quality of Life Outcomes 2008, 6:72
doi:10.1186/1477-7525-6-72
Received: 28 May 2008 Accepted: 29 September 2008
This article is available from: http://www.hqlo.com/content/6/1/72 © 2008 Innerkofler et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract Objective: The objective of this study was to compare the effect of incontinence surgery and pelvic floor training on quality of life (QOL), anxiety and depression in patients with stress urinary incontinence (SUI). Methods: In a prospective longitudinal study, females with proven SUI were asked to complete a set of standardized questionnaires (sociodemographic data sheet, FACT-G, I-QOL, HADS) before and eight weeks after treatment. The comparison groups consisted of a surgical treatment group and a conservative group that underwent supervised pelvic floor training for eight weeks. Results: From the 67 female patients included in the study a number of 53 patients completed both assessment time points (mean age 57.4, mean years of SUI 7.6). The surgical treatment group consisted of 32 patients of which 21 patients received a modified Burch colposuspension and 11 patients a tension-free mid-urethral tape suspension. The 21 patients in the conservative group attended eight once-weekly supervised pelvic floor training sessions. After treatment the surgical intervention group showed a significantly higher improvement of QOL (FACT-G and I-QOL) and anxiety (HADS) than the pelvic floor training group. Conclusion: For female patients with SUI surgery yielded a better outcome than pelvic floor training with regard to quality of life and anxiety.
1. Background According to the International Continence Society (ICS) urinary incontinence (UI) is
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