Longitudinal trends with Improvement in Quality of Life after TVT, TVT O and Burch Colposuspension Procedures
Abstract
Background: Comparison of the quality of life (QoL) trends after TVT, TVT O and Burch colposuspension (BCS) procedures and comparison of long-term subjective and objective outcomes. Material/Methods: The study included 215 women who underwent a TVT, TVT O or BCS procedure.
We monitored QoL after each procedure and the effect of complications on the QoL as assessed by the IQOL questionnaire over a 3-year period. Results: The study was completed by 74.5% of women after TVT, 74.5% after TVT O, and 65.2% after BCS procedure.
In the long-term, the QoL improved from 46.9 to 88.7 and remained stable after BCS; after TVT and TVT O, it declined, but only after TVT O was the decline statistically significant compared to BCS. The IQOL for women with post-operative complications has a clear descending tendency.
The effect of the complications is highly significant (p < 0.001). Only the OAB complication had a statistically significant effect on QoL p < 0.001.
Preexistent OAB does not negatively affect postoperative results of anti-incontinence surgery. Conclusions: There was a statistically significant decline with the longitudinal values of IQOL with TVT O, but not with TVT or BCS.
Anti-incontinence operations significantly improve quality of life for women with MI, but compared to the SI group, the quality of life is worse when measured at a longer time interval after the operation. Anti-incontinence operations significantly improve quality of life, and the difference in preoperative status in the long-term follow-up is demonstrable.