Patient Satisfaction and QoL in SUI: Results With Single-Incision or Full-Length Slings.

Area of Science:

• Urology
• Gynecology
• Surgical Innovation

Background:

• Stress urinary incontinence (SUI) significantly impacts patients' quality of life.
• Understanding long-term treatment effects on quality of life is crucial for optimizing SUI management.
• Surgical interventions, including sling procedures, are common treatments for SUI.

Purpose of the Study:

• To evaluate 36-month patient-reported outcomes, including satisfaction and quality of life, following treatment for SUI.
• To compare the long-term effectiveness of single-incision slings versus full-length slings for SUI.

Main Methods:

• Secondary analysis of the prospective, multicenter Altis 522 study.
• Compared single-incision (Altis) and full-length slings for SUI treatment.
• Utilized validated questionnaires (UDI, IIQ, PGI-I, SSQ) to assess quality of life and satisfaction at multiple time points up to 36 months.

Main Results:

• At 36 months, both Altis and comparator groups showed significant improvements in quality of life and patient-reported outcomes.
• Patient Global Impression of Improvement was high in both groups (92.9% Altis vs. 90.1% comparator).
• No statistically significant differences were observed between the Altis and comparator groups in Urogenital Distress Inventory or Incontinence Impact Questionnaire scores at 36 months.

Conclusions:

• Surgical intervention with slings demonstrates a lasting positive effect on patients with SUI.
• Both single-incision and full-length sling procedures provide sustained improvements in quality of life and patient satisfaction at 36 months.
• These findings support surgical sling placement as an effective long-term treatment option for SUI.