Effects on Depression and Anxiety After Mid-Urethral Sling Surgery for Female Stress Urinary Incontinence

Manami Kinjo, Kazuki Masuda, Yu Nakamura, Satoru Taguchi, Mitsuhiro Tambo, Takatsugu Okegawa, Hiroshi Fukuhara Department of Urology, Kyorin University School of Medicine, Tokyo 181-8611, JapanCorrespondence: Manami Kinjo Tel +81 422 47 5511Fax +81 422 42 8431Email kinjo_1702@yahoo.co.jpPurpose: Uri...

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Main Authors: Kinjo M, Masuda K, Nakamura Y, Taguchi S, Tambo M, Okegawa T, Fukuhara H
Format: Article
Language:English
Published: Dove Medical Press 2020-10-01
Series:Research and Reports in Urology
Subjects:
Online Access:https://test.dovepress.com/effects-on-depression-and-anxiety-after-mid-urethral-sling-surgery-for-peer-reviewed-article-RRU
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author Kinjo M
Masuda K
Nakamura Y
Taguchi S
Tambo M
Okegawa T
Fukuhara H
author_facet Kinjo M
Masuda K
Nakamura Y
Taguchi S
Tambo M
Okegawa T
Fukuhara H
author_sort Kinjo M
collection DOAJ
description Manami Kinjo, Kazuki Masuda, Yu Nakamura, Satoru Taguchi, Mitsuhiro Tambo, Takatsugu Okegawa, Hiroshi Fukuhara Department of Urology, Kyorin University School of Medicine, Tokyo 181-8611, JapanCorrespondence: Manami Kinjo Tel +81 422 47 5511Fax +81 422 42 8431Email kinjo_1702@yahoo.co.jpPurpose: Urinary incontinence (UI) is a common health-related problem in the female population and has a negative impact on many aspects of patients’ quality of life including mental problems. This study evaluated the mental effects of mid-urethral sling (MUS) surgery in female patients with stress UI or stress UI-dominant mixed UI.Patients and Methods: Women with stress UI or stress UI-dominant mixed UI who underwent MUS surgery and were enrolled in this study and followed up for 12 months. The International Consultation of Incontinence Questionnaire-Short Form (ICIQ-SF) and the Hospital Anxiety and Depression Scale (HADS) at baseline and 12 months after the MUS to evaluate the efficacy of the surgery.Results: At baseline, proportions of the patients with anxiety (HADS-Anxiety score of ≥ 8) and depression (HADS-Depression score of ≥ 8) were 21.6% (22/102) and 24.5% (25/102), respectively. At 12 months postoperatively, the median ICIQ-SF score, HADS-Anxiety score, and HADS-Depression score were significantly improved compared with their baseline values (p< 0.001 for ICIQ-SF and HADS-Depression, p=0.011 for HADS-Anxiety). At 12 months postoperatively, changes in the ICIQ-SF and HADS-A scores showed a moderate correlation (r = 0.578, p < 0.001), and changes in the ICIQ-SF and HADS-D scores had a strong correlation (r = 0.838, p < 0.001).Conclusion: This study demonstrated that MUS surgery significantly improved UI, anxiety, and depression with significant correlations in their symptoms. This suggests that improvement of the patients’ UI helped to relieve their symptoms of anxiety and depression.Keywords: urinary incontinence, anxiety, depression, mid-urethral sling surgery
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spelling doaj.art-448d6df559e2460581d82ec89a0e6f952022-12-21T20:15:33ZengDove Medical PressResearch and Reports in Urology2253-24472020-10-01Volume 1249550158245Effects on Depression and Anxiety After Mid-Urethral Sling Surgery for Female Stress Urinary IncontinenceKinjo MMasuda KNakamura YTaguchi STambo MOkegawa TFukuhara HManami Kinjo, Kazuki Masuda, Yu Nakamura, Satoru Taguchi, Mitsuhiro Tambo, Takatsugu Okegawa, Hiroshi Fukuhara Department of Urology, Kyorin University School of Medicine, Tokyo 181-8611, JapanCorrespondence: Manami Kinjo Tel +81 422 47 5511Fax +81 422 42 8431Email kinjo_1702@yahoo.co.jpPurpose: Urinary incontinence (UI) is a common health-related problem in the female population and has a negative impact on many aspects of patients’ quality of life including mental problems. This study evaluated the mental effects of mid-urethral sling (MUS) surgery in female patients with stress UI or stress UI-dominant mixed UI.Patients and Methods: Women with stress UI or stress UI-dominant mixed UI who underwent MUS surgery and were enrolled in this study and followed up for 12 months. The International Consultation of Incontinence Questionnaire-Short Form (ICIQ-SF) and the Hospital Anxiety and Depression Scale (HADS) at baseline and 12 months after the MUS to evaluate the efficacy of the surgery.Results: At baseline, proportions of the patients with anxiety (HADS-Anxiety score of ≥ 8) and depression (HADS-Depression score of ≥ 8) were 21.6% (22/102) and 24.5% (25/102), respectively. At 12 months postoperatively, the median ICIQ-SF score, HADS-Anxiety score, and HADS-Depression score were significantly improved compared with their baseline values (p< 0.001 for ICIQ-SF and HADS-Depression, p=0.011 for HADS-Anxiety). At 12 months postoperatively, changes in the ICIQ-SF and HADS-A scores showed a moderate correlation (r = 0.578, p < 0.001), and changes in the ICIQ-SF and HADS-D scores had a strong correlation (r = 0.838, p < 0.001).Conclusion: This study demonstrated that MUS surgery significantly improved UI, anxiety, and depression with significant correlations in their symptoms. This suggests that improvement of the patients’ UI helped to relieve their symptoms of anxiety and depression.Keywords: urinary incontinence, anxiety, depression, mid-urethral sling surgeryhttps://test.dovepress.com/effects-on-depression-and-anxiety-after-mid-urethral-sling-surgery-for-peer-reviewed-article-RRUurinary incontinenceanxietydepressionmid-urethral sling surgery
spellingShingle Kinjo M
Masuda K
Nakamura Y
Taguchi S
Tambo M
Okegawa T
Fukuhara H
Effects on Depression and Anxiety After Mid-Urethral Sling Surgery for Female Stress Urinary Incontinence
Research and Reports in Urology
urinary incontinence
anxiety
depression
mid-urethral sling surgery
title Effects on Depression and Anxiety After Mid-Urethral Sling Surgery for Female Stress Urinary Incontinence
title_full Effects on Depression and Anxiety After Mid-Urethral Sling Surgery for Female Stress Urinary Incontinence
title_fullStr Effects on Depression and Anxiety After Mid-Urethral Sling Surgery for Female Stress Urinary Incontinence
title_full_unstemmed Effects on Depression and Anxiety After Mid-Urethral Sling Surgery for Female Stress Urinary Incontinence
title_short Effects on Depression and Anxiety After Mid-Urethral Sling Surgery for Female Stress Urinary Incontinence
title_sort effects on depression and anxiety after mid urethral sling surgery for female stress urinary incontinence
topic urinary incontinence
anxiety
depression
mid-urethral sling surgery
url https://test.dovepress.com/effects-on-depression-and-anxiety-after-mid-urethral-sling-surgery-for-peer-reviewed-article-RRU
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