Self-reported pad use per day reflects patient quality of life after pubovaginal sling surgery.

John T Stoffel, Gjange Smith, Simone Crivellaro, John J Smith, John F Bresette
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引用次数: 4

Abstract

Introduction and hypothesis: We hypothesized that self-reported pad use per day (PPD) after pubovaginal sling (PVS) correlated with postoperative quality of life (QOL) scores.

Methods: Two hundred fifteen women completed the incontinence impact questionnaire 7 (IIQ-7) and urogenital distress inventory 6 (UDI-6) before PVS and during follow-up. Starting 3 days before a visit, women recorded the number of protective urinary pad changes per day. Analysis of variance and Pearson correlation tests were used to determine if women reporting zero, one, or greater than or equal to two urinary pads per day after PVS had significantly different changes in baseline QOL scores.

Results: Over a mean 8.5 months follow-up after PVS, 131, 56, and 28 women reported zero, one, and greater than or equal to two pad changes/day. Each pad group showed progressively less improvement from baseline IIQ-7 and UDI-6 scores after PVS. Change in IIQ-7 and UDI-6 scores negatively correlated with PPD (p < 0.0001).

Conclusions: Self-reported PPD after PVS reflects patient perception of urinary-specific QOL.

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自我报告每天使用垫反映患者的生活质量后阴阴道吊带手术。
简介和假设:我们假设阴部阴道悬吊(PVS)后自我报告的每天使用垫(PPD)与术后生活质量(QOL)评分相关。方法:在PVS前及随访期间,对215名女性进行尿失禁影响问卷7 (IIQ-7)和泌尿生殖窘迫问卷6 (UDI-6)的调查。从就诊前3天开始,女性记录每天更换护垫的次数。使用方差分析和Pearson相关检验来确定PVS后报告每天0、1或大于或等于2块尿垫的女性在基线生活质量评分上是否有显著不同的变化。结果:在PVS后平均8.5个月的随访中,131、56和28名妇女报告每天零、一次和大于或等于两次尿垫更换。PVS后,每个pad组较基线IIQ-7和UDI-6评分的改善逐渐减少。IIQ-7和UDI-6评分的变化与PPD呈负相关(p < 0.0001)。结论:PVS后自我报告的PPD反映了患者对尿液特异性生活质量的感知。
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