Patient satisfaction following bladder neck suspension

Stress urinary incontinence is a common problem; 107 women undergoing bladder neck suspension between 1982 and 1989 were reviewed. Seventyfour responded via questionnaire and underwent chart review. Leakage resolved in 83%, with a mean follow-up of 23 months. Sixty-eight per cent were satisfied with the procedure outcome. Preoperative leakage with coughing and work-related activities predicted procedure success, while symptom resolution, number of postoperative pads required, leakage with preoperative coughing and work-related activities predicted patient satisfaction. Postoperative detrusor instability caused the discrepancy between leakage resolution and patient satisfaction. A complication rate of 15.9% was significantly higher in patients who had undergone prior procedures (p<0.001).