Acta Scientific Women's Health (ASWH)(ISSN: 2582-3205)

Research Article Volume 2 Issue 8

Assessment of Surgical Treatment Outcome of Women Patients with Stress Urinary Incontinence Managed in Jimma University Medical Center, Southwest Ethopia

Chuchu Arega*

Assistant Professor, Mizan-Tepi University, Ethiopia

*Corresponding Author: Chuchu Arega, Assistant Professor, Mizan-Tepi University, Ethiopia.

Received: June 22, 2020; Published: July 30, 2020



Background: Stress Urinary incontinence (SUI) is a common problem in women and with appropriate diagnosis stress urinary incontinence can most often be treated. Jimma University Medical Centre (JUMC) has been performing surgical treatment since the past four years and it was crucial to determine the clinical characteristics and outcomes of surgical treatment done for women with stress urinary incontinence JUMC.

Objectives: To determine outcomes of surgical treatment of women with stress urinary incontinence, and associated factors in Jimma University Medical Centre (JUMC).

Methods: Hospital based cross sectional study was conducted among 44 female patients with stress urinary incontinence admitted to gynecology ward and underwent surgical treatment in Jimma University Medical Centre (JUMC) over a period of 1 year and 7 months from 1 January/2018 to 30 July/2019 G.C. The collected data was entered into Epidata version 4.1, and then it was exported to SPSS (Version 20.0) for statistical analysis.

Result: The study showed that the age of the patients ranged from 14 to 65 years with mean of 35 (± 13) years, 24 (54.5%) patients were house wife, 19 (43.2%) divorced, 33 (75%) were not sexually active, 30 (68.2%) multiparous and 30 (68.2%) patients gave birth by vaginal route. Forty two (95.5%) patients were from rural areas and 27 (61.4%) patients were having stress urinary incontinence for less than 36 months, 17 (38.6%) patients were having stress urinary incontinence for 36 months and above. Thirty nine (88.6%) patents were treated with pubovaginal sling and 36 (81.8%) patients on discharge were continent to urine and were cured of SUI after surgical treatment.

Conclusion and Recommendations: In this study the majority of patients had lived with stress urinary incontinence and were treated with Pubovaginal Sling and high success rate was achieved with vulvovaginal Sling procedure.

Keywords: Stress Urinary Incontinence; Pubovaginal Sling; Surgical Outcome



  1. Kathleen C Kobashi., et al. “Surgical Treatment of Female Stress Urinary Incontinence: AUA/SUFU Guideline”. Journal of Urology 198 (2017): 875-883.
  2. Mangera A and Chapple CR. “Urinary incontinence in adults”. RENAL AND UROLOGY III. UK: Elsevier Ltd. (2011).
  3. Catherine E DuBeau. “Prevalence and impact the pathophysiology of incontinence clinical types of incontinence assessment of urinary incontinence management” (2000).
  4. Ananians C Diokno. “Incidence and orevalence of stress urinary incontinence”. 3 (2003).
  5. Auren Hersh and Brooke Salzman. “Clinical Management of Urinary Incontinence in Women” (2013).
  6. Clá Pereira mG. “Quality of life in women with urinary incontinence”. Revista da Associação Médica Brasileira 2 (2015): 178-183.
  7. MG Lucas., et al. “Guidelines on Urinary Incontinence” (2015).
  8. Cláudia Senra and Pereira mG. “Quality of life in women with urinary incontinence” (2014).
  9. Lauren N Wood and Anger JT. “Urinary incontinence in women” (2014).
  10. Xavier Fritel., et al. “Diagnosis and management of adult female stress urinary incontinence” (2009).
  11. Barbara L Hoffman., et al. Williams Gynecology Third Edition: McGraw-Hill Education (2008): 514.
  12. Setchell Shepherd Hudson. Shaw’s Textbook of Operative Gynaecology (2013).
  13. , et al. “Incidence and prevalence of urinary incontinence in women in Europe: systematic revision of the literature”. 377.
  14. Andrzej Witek., et al. “Longterm impact of surgical repair for stress urinary incontinence on female sexual functions, distress and behaviours”. Journal of Clinical Nursing (2012): 1591-1598.
  15. Józef Opara and Czerwińska-Opara WE. “The prevalence of stress urinary incontinence in women studying nursing and related quality of life”. Menopausal Review1 (2014): 32-35.
  16. HS Nielsen., et al. “A community-based long-term follow up of women undergoing obstetric fistula repair in rural Ethiopia”. RCOG 116 (2009): 1258-1264.
  17. W Gibson., et al. “Are older women more likely to receive surgical treatment for stress urinary incontinence since the introduction of the mid-urethral sling?”. An International Journal of Obstetrics and Gynecology (2015): 1386-1392.
  18. Skaal L and MK DM. “The Prevalence of Urinary Incontinence and its Impact on Quality of Life among the University Female Staff in South Africa”. SA Journal of Physiotherapy (2011): 67.
  19. B Surendra Babu., et al. “Modified and Simplified Stamey’s Procedure for Stress Urinary Incontinence: A Comparative Clinical Study”. International Journal of Scientific Study7 (2015).
  20. Kiersten Johnson AP. “Incontinence Data from the Demographic and Health Surveys: Comparative Analysis of a Proxy Measurement of Vaginal Fistula and Recommendations for Future Population-Based Data Collection”. DHS Analytical Studies 17 (2008).
  21. Sania Almousa and Loon ABv. “The prevalence of urinary incontinence in nulliparous adolescent and middle-aged women and the associated risk factors: A systematic review”. Maturitas (2018).
  22. I Milsom and Gyhagen M. “The prevalence of urinary incontinence”. Climacteric 22 (2019): 217-222.
  23. A Norton Shohei Kawaguchi., et al. “Predictors of persistent stress urinary incontinence after transvaginal mesh repair”. BMC Women's Health (2018): 1-6.
  24. Raveen Syan., et al. “Stress Urinary Incontinence Surgery after Pelvic Organ Prolapse Repair in a Large Population-based Cohort in California”. Urology 123 (2019): 81-86.
  25. Arjun K Nambiar., et al. “Burkhard The Role of Urodynamics in the Evaluation of Urinary Incontinence”. The European Association of Urology (2017).
  26. L Brubaker., et al. “Five Year Continence Rates, Satisfaction and Adverse Events of Burch Urethropexy and Fascial Sling Surgery for Urinary Incontinence”. Journal of Urology (2012): 1324-1330.
  27. VA Minassian., et al. “Urinary incontinence as a worldwide problem”. International Journal of Gynecology and Obstetrics 82 (2003): 327-338.
  28. Ömer Bayrak., et al. “Pubovaginal sling materials and their outcomes”. Turkish Journal of Urology4 (2014): 233-239.
  29. Elena Kwon., et al. Success of Pubovaginal Sling in Patients With Stress Urinary Incontinence and Efficacy of Vaginal Sling Release in Patients With Post Sling Voiding Dysfunction Elena Kwon, BSc, Jane A. Schulz, MD, FRCSC, Cathy G. Flood, MD, FRCSC. (2006): 519-525.
  30. Sandip P Vasavada., et al. “Vaginal Sling Surgery for Stress Urinary Incontinence”.
  31. Jacek Kociszewski., et al. “Are complications of stress urinary incontinence surgery procedures associated with the position of the sling?” International Journal of Urology (2016): 1-6.
  32. Julien Labrie., et al. “Surgery versus Physiotherapy for Stress Urinary Incontinence”. The New England Journal of Medicine 369 (2013): 1124-1133.
  33. Wolfram Jäger., et al. “Surgical Treatment of Mixed and Urge Urinary Incontinence in Women”. Gynecologic and Obstetric Investigation 74 (2012): 157-164.
  34. Saint Mary’s Hospital/Trafford General Hospital, Service U-g. An operation for stress incontinence Fascial Sling. NHS (2018): 1-5.
  35. Demisew Anemu Sori., et al. “Characteristics and repair outcome of patients with Vesicovaginal fistula managed in Jimma University teaching Hospital, Ethiopia”. BMC Urology (2016).




Citation: Chuchu Arega. “Assessment of Surgical Treatment Outcome of Women Patients with Stress Urinary Incontinence Managed in Jimma University Medical Center, Southwest Ethopia". Acta Scientific Women's Health 2.8 (2020): 23-37.


Acceptance rate35%
Acceptance to publication20-30 days

Indexed In

News and Events

  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is May 30, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US