Effect of mid-urethral sling surgery on sleep quality and quality of life in the treatment of stress urinary incontinence

Abstract

Objectives: This study aims to evaluate the effect of surgical outcomes on quality of life and sleep quality following stress urinary incontinence (SUI) surgery. Materials and Methods: Patients diagnosed with SUI and treated with a mid-urethral sling were evaluated retrospectively. Fifty-six patients aged 40-75 years who had a follow-up period of more than 12 months, could not be treated conservatively, and had not previously undergone anti-incontinence or urogynaecological surgery were included in the study. Demographic findings of the patients and the pelvic examination were performed. The patients were evaluated preoperatively and postoperatively using the incontinence quality of life scoring system (I-QOL), Pittsburgh sleep quality index (PSQI), and cough stress pad test. Results: A success rate of approximately 93% was achieved, with an objective cure in 46 patients (82.1%) and a subjective cure in six patients (10.8%). Statistically significant improvements were found in the patients postoperative I-QOL and PSQI scores. According to Spearman correlation analysis, there was a correlation between I-QOL and PSQI (r=-0.974). In women 65 years and older, the duration of incontinence symptoms was significantly longer (p<0.001); frequency of persistent incontinence (p=0.026) and incontinence episodes were evaluated as during sleep and/or spontaneous (p=0.011). Conclusion: There is a relationship between quality of life and sleep quality in women with SUI. It was determined that surgical treatment significantly improved the quality of life and sleep quality of women with SUI.