Abstract
Objective
To analyze patient reported outcomes, safety, and efficacy of the Supris mid-urethral
sling in a diverse population.
Methods
A retrospective chart review of 101 women who underwent a mid-urethral Suprissling
procedure was conducted. Baseline characteristics and perioperative parameters were
collected. Post-operative results and patient reported outcomes were collected at
an average follow-up time of 19 months using the Urogenital Distress Inventory-6 (UDI-6)
and Patient Global Impression of Improvement (PGI-I) validated questionnaires. Subjective
cure rates were compared using the nonparametric Wilcoxon Rank Sum Test.
Results
The median age of women was 57 years old, and 86.1% identified as Latina. 28% and
72% of women had a SUI and MUI diagnosis, respectively. Women, on average, used 2
pads pre-operatively and none post-operatively. There was a 3% surgical revision rate.
80 women completed the questionnaires. 82% of the MUI group reported being very much
improved or much better. The SUI group reported being 94% very much improved or much
better. The UDI-6 questions related to urgency and leakage of small amounts of urine
were significantly different between the MUI and SUI groups (P = .002 and P = .044).
Conclusion
In our primarily Latina patient population, the majority of whom had MUI, the Supris
retropubic sling greatly improved symptoms. Although reported outcomes were excellent
in both groups, those with pre-operative urge incontinence were more likely to experience
urge symptoms post-operatively. Despite persistent urge symptoms, patients reported
improvement of their overall symptoms.
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References
- An international urogynecological association (IUGA)/international continence society (ICS) joint report on the terminology for female pelvic floor dysfunction.Neurourol Urodyn. 2010; 29: 4-20
- Urinary incontinence in women a review.JAMA - J A. Med Assoc. 2017; 318: 1592-1604
- Prevalence, risk factors, and treatment for women with stress urinary incontinence in a racially and ethnically diverse population.Neurourol Urodyn. 2019; 38: 934-940https://doi.org/10.1002/nau.23930
- Differences in prevalence of urinary incontinence by race/ethnicity.J Urol. 2006; 175: 259-264https://doi.org/10.1016/S0022-5347(05)00039-X
- Prevalence and incidence of urinary incontinence in a diverse population of women with noncancerous gynecologic conditions.Female Pelvic Med Reconstr Surg. 2010; 16: 284-289https://doi.org/10.1097/SPV.0b013e3181ee6864
- Urinary incontinence in women and racial aspects: a literature review.Texto e Context Enferm. 2012; 21: 692-701https://doi.org/10.1590/S0104-07072012000300026
- Racial disparities in the surgical management of stress incontinence among female medicare beneficiaries.J Urol. 2007; 177: 1846-1850https://doi.org/10.1016/j.juro.2007.01.035
- American Urological Association (AUA) /SURGICAL TREATMENT OF FEMALE STRESS URINARY INCONTINENCE: AUA / SUFU GUIDELINE American Urological Association (AUA) / Society of Urodynamics.Female Pelvic Med Urogenital Reconstruction (SUFU) Stress. 2017; 198: 1-33
- Validation of the spanish version of the urogenital distress inventory short form and incontinence impact questionnaire short form for women between the ages of 18 y 65.Actas Urológicas Españolas. 2015; 39: 511-517https://doi.org/10.1016/j.acuro.2015.03.001
- Validation of two global impression questionnaires for incontinence.Am J Obstet Gynecol. 2003; 189: 98-101https://doi.org/10.1067/mob.2003.379
- Short forms to assess life quality and symptom distress for urinary incon- tinence in women: the incontinence impact questionnaire and the urogenitaldistress inventory. Continence Program for Women Research Group.Neurourol Urodyn. 1995; 14: 131-199
- Evaluation of transobturator tension-free vaginal tapes in the management of women with mixed urinary incontinence: one-year outcomes.Am J Obstet Gynecol. 2011; 205: 150.e1-150.e6https://doi.org/10.1016/j.ajog.2011.03.018
- Prevalence of persistent and de novo overactive bladder symptoms after the tension-free vaginal tape.Obstet Gynecol. 2004; 104: 1263-1269https://doi.org/10.1097/01.AOG.0000147596.44421.72
- De novo urge syndrome and detrusor instability after anti-incontinence surgery: current concepts, evaluation, and treatment.Curr Urol Rep. 2002; 3: 345-353https://doi.org/10.1007/s11934-002-0075-7
- Racial and socioeconomic factors influence utilization of advanced therapies in commercially insured OAB patients: an analysis of over 800,000 OAB patients.Urology. 2020; 142: 81-86https://doi.org/10.1016/j.urology.2020.04.109
- Communication barriers among spanish-speaking women with pelvic floor disorders.Female Pelvic Med Reconstr Surg. 2013; 19: 157-164https://doi.org/10.1097/SPV.0b013e318288ac1c
Krogstad J, Steepler R, Lopez M. English Proficiency on the Rise Among Latinos. Available at: https://www.pewresearch.org/hispanic/2015/05/12/english-proficiency-on-the-rise-among-latinos/. 2021;15. Accessed November 1, 2020
- Disparity of racial/ethnic representation in publications contributing to overactive bladder diagnosis and treatment guidelines.Female Pelvic Med Reconstr Surg. 2020; 27085201https://doi.org/10.1097/SPV.0000000000000992
- Disparity of race reporting and representation in clinical trials leading to cancer drug approvals from 2008 to 2018.JAMA Oncol. 2019; 5e191870https://doi.org/10.1001/jamaoncol.2019.1870
Article info
Publication history
Published online: October 09, 2021
Accepted:
July 23,
2021
Received:
March 31,
2021
Footnotes
Financial Disclosure: All other authors declare no conflicts of interest.
Funding Support: A Coloplast research grant.
Identification
Copyright
© 2021 Published by Elsevier Inc.
