Improvements in Physical Activity and Functioning After Undergoing Midurethral Sling Procedure for Urinary Incontinence

Overview

Journal Obstet Gynecol

Specialty Gynecology & Obstetrics

Date 2012 Aug 24

PMID 22914466

Citations 5

Authors

Vivian W Sung

Nadine Kassis

Christina A Raker

Affiliations

Soon will be listed here.

Abstract

Objective: The primary objective was to estimate the effect of the midurethral sling on improving leisure physical activity levels and physical functioning in women with stress urinary incontinence (SUI). Our secondary objective was to identify possible risk factors for postoperative insufficient physical activity.

Methods: We conducted a prospective, observational study of women undergoing outpatient midurethral sling for SUI. Women completed validated questionnaires for incontinence, leisure physical activity, and physical functioning at baseline and 6 months postoperatively. The primary outcome was leisure physical activity level. We used multiple logistic and linear regression to estimate the effect of improvements in urinary symptoms and life effect on physical activity levels and physical functioning scores.

Results: Ninety women underwent surgery and 85 returned for follow-up. At baseline, 38% had sedentary, 18% had moderate, and 44% had sufficient leisure physical activity levels. Postoperatively, this modestly improved to 26% sedentary, 20% moderate, and 54% sufficient levels. The median leisure physical activity energy expenditure increased from 396 to 693 metabolic equivalent-minutes per week (P=.04). Physical functioning scores also significantly improved (mean score 44 compared with 55 points, P<.001). On multiple logistic regression, improvements in incontinence life effect were associated with increased odds of leisure physical activity improvement (adjusted odds ratio 1.66; 95% confidence interval 1.08-2.54). On multiple linear regression, improvements in both urinary incontinence severity and effect were associated with improvements in physical functioning scores (P<.01 for both). Factors associated with insufficient postoperative physical activity included low baseline physical activity levels and smaller improvements in urinary effect scores.

Conclusion: Midurethral sling and subsequent improvements in urinary incontinence are associated with improved leisure physical activity levels and physical functioning.

Citing Articles

Quality of Life of Physically Active and Inactive Women Who Are Older after Surgery for Stress Urinary Incontinence Using a Transobturator Tape (TOT).

Kolodynska G, Zalewski M, Fink-Lwow F, Mucha A, Andrzejewski W J Clin Med. 2021; 10(20).

PMID: 34682882 PMC: 8537612. DOI: 10.3390/jcm10204761.

The Relationship Between Urinary Incontinence, Mobility Limitations, and Disability in Older Women.

Sanses T, Kudish B, Guralnik J Curr Geriatr Rep. 2020; 6(2):74-80.

PMID: 33214994 PMC: 7673290. DOI: 10.1007/s13670-017-0202-4.

Physical activity and the pelvic floor.

Nygaard I, Shaw J Am J Obstet Gynecol. 2015; 214(2):164-171.

PMID: 26348380 PMC: 4744534. DOI: 10.1016/j.ajog.2015.08.067.

Safety considerations for synthetic sling surgery.

Blaivas J, Purohit R, Benedon M, Mekel G, Stern M, Billah M Nat Rev Urol. 2015; 12(9):481-509.

PMID: 26282209 DOI: 10.1038/nrurol.2015.183.

Functional disability and compromised mobility among older women with urinary incontinence.

Erekson E, Ciarleglio M, Hanissian P, Strohbehn K, Bynum J, Fried T Female Pelvic Med Reconstr Surg. 2014; 21(3):170-5.

PMID: 25185600 PMC: 4346547. DOI: 10.1097/SPV.0000000000000136.

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