Patient Reported Goal Achievement Following the Midurethral Sling Procedure for Female Stress Urinary Incontinence.

OBJECTIVES Patient perspective is very important for evaluating surgical outcomes. We investigated patient reported goal achievement, overall satisfaction and objective outcome following the midurethral sling (MUS) procedure for female stress urinary incontinence (SUI). METHODS The study prospectively enrolled 88 SUI patients who underwent the MUS procedure between August 2006 and December 2006. Patient examination included medical history, physical examination and an urodynamic study prior to surgery. Before surgery, patients were shown a list and asked to nominate one goal which they most wanted to achieve with surgery (i.e., the target goal). The goals were classified as: symptom-related, daily life-related, personal relationship- and emotion-related, and others. Before and after the surgery, patients completed a Bristol Female Lower Urinary Tract Symptom-Short Form questionnaire. At 1 year postoperatively, patients were assessed in terms of achievement of the target goal, overall satisfaction and cure rate. RESULTS At the 1-year follow-up, overall target goals were achieved in 90.1% of patients, 82 (93.2%) patients were satisfied with the treatment, and 82 (93.2%) patients were cured. For most patients, the target goals were symptom-related (47 patients, 53.4%). The patients whose goal achievement was less than overall goal achievement were significantly less satisfied than those who fully achieved their goal, and goal achievement was also related to objective cure. CONCLUSION Achievement of patient goals was high and could be a good measure of surgical success following MUS for female SUI.