[Comparative study between objective and subjective measures to evaluate the results of surgery offered to ladies suffered from urinary stress incontinence treated with surgery in maternity hospital at Damascus university]

ABSTRACT

Stress incontinence is a very common complaint in women and as there is a social aspect to the problem the satisfaction of the patient after surgery could be part of the successful rate of any kind of treatment. This study aim to compare the cure rate after surgery using subjective and objective measures to those who underwent to artificial sling operation to treat their urinary stress incontinence in Maternity Hospital at Damascus University. This prospective study started the 1[st] of January 2009 till 1/1/2010. 33 patients were involved in the study who had had surgery using TVT technique to treat urinary stress incontinence. Many items were used to put the diagnosis include; history, medical examination, bony test, urinalysis and culture and urodynamic study. All patients had a repeated urodynamic studies and the cure rate were compared with the cure using the subjective measures were the satisfaction of the patient is an important element. Using the subjective measures the cure rate was 94% while it was 73% by using the objective measures and there were a failure rate in 3%. despite what is accepted generally that the urodynamic studies is a fundamental measure to evaluate the cure rate after the surgery Such objective measures, however, are not always indicative of a patient's perception of cure, nor their satisfaction with the treatment and the improved quality of life.