Subjective versus objective measurement of surgical outcomes of treatment of female stress urinary incontinence: It is not just black and white

摘要

Stress urinary incontinence (SUI) is encountered in as many as 20% of women with adverse social and hygienic consequences [1]. Recently, most studies have shown that the majority of surgical procedures, particularly the minimally invasive midurethral slings, are both safe and effective treatment of female SUI. However, the success rates reported varied between studies, depending on whether objective or subjective outcomes had been measured. The postoperative objective and subjective cure rates were not also correlated in most of these studies. For example, a recent review gives a very wide range of short-term success rates of various surgical procedures for treatment of female SUI, from 32% to 100% [1]. It is extremely important that comparison of the results of surgical treatment of SUI between different surgeons and centers as well as patient counseling is based on robust scientific evidence that includes valid and accurate assessment of the treatment outcome.