Investigation of the Necessity of Urodynamic Test in Patients with Urinary Stress Incontinence for TOT Surgery

Abstract

Abstract<br />Background and aims: Stress urinary incontinence is one of the most common diseases which can<br />reduce the quality of life in women. Urodynamic test is a common method of diagnosis of this disease.<br />This study is designed for investigating the necessity of urodynamic test in patients with urinary stress<br />incontinency before transobturator tape (TOT) surgery. Urodynamic test before surgery can affect the<br />quality of life in patients.<br />Methods: This study was a randomized clinical trial. The sample size was 48 patients divided into two<br />groups of 24 women in January 2018. Women with urinary incontinence complaints were randomly<br />divided into two groups. For the first group, the urodynamic test was done. Both groups were evaluated<br />one month and six months after TOT surgery based on the results of the I-QOL questionnaire.<br />Results: The mean I-QOL score was 83.9 ± 3.3 in questionnaire group and 81.6 ± 4.6 in urodynamic<br />group one month after surgery with no statistically significant (P = 0.052) difference. The quality of life<br />score after 6 months was 87.2 ± 4 in the questionnaire group and 85.4 ± 3 in the urodynamic group<br />with no statistically significant differences with each other (P = 0.084).<br />Conclusion: In this study, the urodynamic test only had additional information related to lower urinary<br />tract symptoms and it did not have effects on improving the outcome of the surgery. The test only<br />imposes economic burden. Therefore, the urodynamic test is not required before surgery in patients<br />with urinary stress incontinence.