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How useful are the BSUG database outcome criteria: validation using the MESA questionnaire.

H M Elbiss¹, A J M Thomson, P A Moran

¹Department of Obstetrics and Gynaecology, Faculty of Medicine and Health Sciences, United Arab Emirates University, Al Ain, United Arab Emirates. hasa444@hotmail.com

Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology

|October 8, 2010

Summary

The British Society of Urogynaecology (BSUG) database subjective outcome scores effectively assess tension-free vaginal tape (TVT) treatment for urinary stress incontinence. Postoperative patient outcomes significantly improved, validating BSUG

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Area of Science:

Urogynecology
Surgical Outcomes Research
Medical Device Evaluation

Background:

Urinary stress incontinence is a prevalent condition with widely varying reported prevalence rates.
Variations in prevalence may stem from differing definitions of incontinence and study methodologies.
Assessing the effectiveness of surgical interventions like tension-free vaginal tape (TVT) requires reliable outcome measures.

Purpose of the Study:

To evaluate the validity and reliability of the British Society of Urogynaecology's (BSUG) database subjective outcome scores following TVT.
To correlate BSUG database scores with changes in the Medical Epidemiologic and Social Aspects of Ageing (MESA) questionnaire scores.
To determine if subjective assessments used by the BSUG database accurately reflect TVT treatment outcomes.

Main Methods:

A cohort of 100 women diagnosed with urodynamic stress incontinence underwent TVT.
Participants completed the MESA questionnaire preoperatively and at 6 months postoperatively.
BSUG database outcome measures, patient global impression, and stress/urge symptom analyses were collected.

Main Results:

85% of patients reported a significant improvement in their global impression of outcome post-surgery.
A 73.89% reduction in mean MESA scores was observed (p < 0.001), indicating symptom improvement.
BSUG database outcome measures demonstrated a strong correlation with symptom improvement as measured by MESA scores.

Conclusions:

The subjective outcome measures within the BSUG database are a valid tool for assessing TVT outcomes.
BSUG database assessments correlate well with objective symptom improvement measured by the MESA questionnaire.
These findings support the continued use of BSUG subjective assessments for evaluating TVT efficacy.