Does Pre-Operative Grade of Stress Urinary Incontinence Severity Affect the Post-Operative Outcome? A Systematic...

Area of Science:

• Urology
• Gynecology
• Pelvic Floor Disorders

Background:

• Stress urinary incontinence (SUI) severity is a critical factor in treatment outcomes.
• Pre-interventional assessment of SUI severity is crucial for managing patient expectations and selecting appropriate treatments.

Purpose of the Study:

• To evaluate the success and dry rates of interventional treatments for mild, moderate, and severe SUI.
• To compare the efficacy of different SUI treatments based on pre-operative SUI severity.

Main Methods:

• Systematic review adhering to PRISMA guidelines, searching PubMed, Scopus, and Cochrane Library.
• Included adult women with SUI undergoing interventional procedures, with pre- and post-operative SUI severity classification.
• Analyzed outcomes including success and dry rates for various interventions like mid-urethral slings (MUS) and energy-based devices (EBD).

Main Results:

• Successful treatment rates for SUI were 84.7% for mild, 88.3% for moderate, and 75.7% for severe/very severe cases.
• Mid-urethral slings (MUS) demonstrated higher success rates (89.6% mild, 92.0% moderate, 83.9% severe) compared to energy-based devices (EBD) (66.7% mild, 52.5% moderate, 44.3% severe).
• Treatment success rates significantly decreased with increasing SUI severity across all interventions.

Conclusions:

• Interventional treatment success for SUI is significantly influenced by pre-operative SUI severity.
• Mid-urethral slings (MUS) offer superior treatment rates compared to energy-based devices (EBD) for SUI, regardless of severity.
• Tailoring treatment based on SUI severity is essential for optimizing patient outcomes.