{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:35:45Z","timestamp":1787841345570,"version":"build-2784847793"},"reference-count":29,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Stress urinary incontinence (SUI) is a common ailment in affecting quality of life. This study was performed to see role of incontinence severity index (ISI) in evaluating severity of SUI and to see the impact of treatment of SUI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>A total of 40 women with the diagnosis of SUI on history and clinical examination were enrolled. ISI was calculated on all the women before treatment. All women were treated with either conservative treatment (pelvic floor exercises, life style modification, and duloxetine therapy) (4, 10%) or Burch's colposuspension (18, 45%) or tension-free obturator tape (18, 45%) as per clinical situation after discussion with patients. ISI was again calculated 6 months after treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Mean age, parity, body mass index in the study were 41.60 years, 2.73, and 24.2 kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      , respectively. All 40 (100%) patients had SUI with the mean duration of symptoms being 4.04 years. A total of 11 (27.5%) had moderate SUI (ISI 3\u20136), while 24 (60%) had severe SUI (ISI 8\u20139), while 5 (12.5%) had very severe SUI (ISI 12). Range of pretreatment ISI was 3\u201312 with mean being 8.8 \u00b1 3.2. Posttreatment ISI reduced significantly with range of 1\u20134 and mean of 1.3 \u00b1 0.4 (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). The reduction was significant for all the groups, but there was no significant difference in efficacy of three treatment groups. Statistical analysis was done using SPSS IBM Version 2-1-0 using Chi-square test, Fisher's Extract test, and ANOVA test as appropriate.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>ISI is a useful modality to evaluate the severity of SUI and to see the impact of treatment modalities on SUI.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jmh.jmh_113_20","type":"journal-article","created":{"date-parts":[[2023,5,17]],"date-time":"2023-05-17T08:17:38Z","timestamp":1684311458000},"page":"139-144","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Role of Incontinence Severity Index in Evaluating Severity and Impact of Treatment Of Stress Urinary Incontinence"],"prefix":"10.4103","volume":"13","author":[{"given":"Jai Bhagwan","family":"Sharma","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology, AIIMS, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vivek","family":"Kakkad","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, AIIMS, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K. K.","family":"Roy","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, AIIMS, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajesh","family":"Kumari","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, AIIMS, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kavita","family":"Pandey","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, AIIMS, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,9,16]]},"reference":[{"key":"R2-20250920","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1016\/j.pop.2019.02.004","article-title":"Urinary incontinence","volume":"46","author":"Irwin","year":"2019","journal-title":"Prim Care"},{"key":"R3-20250920","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1002\/nau.20798","article-title":"An International Urogynecological Association (IUGA)\/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction","volume":"29","author":"Haylen","year":"2010","journal-title":"Neurourol Urodyn"},{"key":"R4-20250920","doi-asserted-by":"crossref","first-page":"390","DOI":"10.1093\/aje\/kwm356","article-title":"Prevalence of and risk factors for urine leakage in a racially and ethnically diverse population of adults: The Boston Area Community Health (BACH) Survey","volume":"167","author":"Tennstedt","year":"2008","journal-title":"Am J Epidemiol"},{"key":"R5-20250920","doi-asserted-by":"crossref","first-page":"352","DOI":"10.1111\/j.1464-410X.2009.08427.x","article-title":"The prevalence of lower urinary tract symptoms (LUTS) in the USA, the UK and Sweden: Results from the Epidemiology of LUTS (EpiLUTS) study","volume":"104","author":"Coyne","year":"2009","journal-title":"BJU Int"},{"key":"R6-20250920","doi-asserted-by":"crossref","first-page":"31","DOI":"10.4103\/0970-1591.109981","article-title":"Prevalence and risk factors of urinary incontinence in Indian women: A hospital-based survey","volume":"29","author":"Singh","year":"2013","journal-title":"Indian J Urol"},{"key":"R7-20250920","doi-asserted-by":"crossref","first-page":"845","DOI":"10.1007\/s00404-008-0831-0","article-title":"Prevalence of urinary incontinence and other urological problems during pregnancy: A questionnaire based study","volume":"279","author":"Sharma","year":"2009","journal-title":"Arch Gynecol Obstet"},{"key":"R8-20250920","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1016\/j.eururo.2016.09.045","article-title":"European Association of Urology. The role of urodynamics in the evaluation of urinary incontinence: The European Association of Urology Recommendations in 2016","volume":"71","author":"Nambiar","year":"2017","journal-title":"Eur Urol"},{"key":"R9-20250920","first-page":"119","article-title":"Role of urodynamics in stress urinary incontinence: A critical appraisal","volume":"7","author":"Yande","year":"2016","journal-title":"J Midlife Health"},{"key":"R10-20250920","doi-asserted-by":"crossref","first-page":"322","DOI":"10.1002\/nau.20041","article-title":"ICIQ: A brief and robust measure for evaluating the symptoms and impact of urinary incontinence","volume":"23","author":"Avery","year":"2004","journal-title":"Neurourol Urodyn"},{"key":"R11-20250920","doi-asserted-by":"crossref","first-page":"520","DOI":"10.1007\/s00192-005-0060-z","article-title":"Validity of the incontinence severity index: Comparison with pad-weighing tests","volume":"17","author":"Sandvik","year":"2006","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct"},{"key":"R12-20250920","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1002\/nau.1930140206","article-title":"Short forms to assess life quality and symptom distress for urinary incontinence in women: The Incontinence Impact Questionnaire and the Urogenital Distress Inventory. Continence Program for Women Research Group","volume":"14","author":"Uebersax","year":"1995","journal-title":"Neurourol Urodyn"},{"key":"R13-20250920","first-page":"CD005654","article-title":"Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women","volume":"10","author":"Dumoulin","year":"2018","journal-title":"Cochrane Database Syst Rev"},{"key":"R14-20250920","first-page":"CD002912","article-title":"Open retropubic colposuspension for urinary incontinence in women","volume":"7","author":"Lapitan","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"key":"R15-20250920","doi-asserted-by":"crossref","first-page":"e0156306","DOI":"10.1371\/journal.pone.0156306","article-title":"Comparison of effectiveness between Tension-Free Vaginal Tape (TVT) and Trans-Obturator Tape (TOT) in patients with stress urinary incontinence and intrinsic sphincter deficiency","volume":"11","author":"Kim","year":"2016","journal-title":"PLoS One"},{"key":"R16-20250920","doi-asserted-by":"crossref","first-page":"973","DOI":"10.1111\/1471-0528.14561","article-title":"Long-term outcomes of transobturator tapes in women with stress urinary incontinence: E-TOT randomised controlled trial","volume":"124","author":"Karmakar","year":"2017","journal-title":"BJOG"},{"key":"R17-20250920","doi-asserted-by":"crossref","first-page":"593","DOI":"10.1016\/j.ajog.2020.11.043","article-title":"Long-term effectiveness and safety of open Burch colposuspension vs retropubic midurethral sling for stress urinary incontinence-results from a large comparative study","volume":"224","author":"Karmakar","year":"2021","journal-title":"Am J Obstet Gynecol"},{"key":"R18-20250920","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1007\/s13224-020-01408-3","article-title":"Autologous fascial slings for surgical management of stress urinary incontinence: A come back","volume":"71","author":"Sharma","year":"2021","journal-title":"J Obstet Gynecol India"},{"key":"R19-20250920","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1016\/j.ejogrb.2020.06.062","article-title":"A comparative study of autologous rectus fascia pubovaginal sling surgery and synthetic transobturator vaginal tape procedure in treatment of women with urodynamic stress urinary incontinence","volume":"252","author":"Sharma","year":"2020","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"R20-20250920","doi-asserted-by":"crossref","first-page":"1174","DOI":"10.18203\/2320-1770.ijrcog20171380","article-title":"Tension-free transobturator vaginal tape and autologous rectus fascia transobturator vaginal sling for the treatment of urinary stress incontinence: A prospective clinical study","volume":"6","author":"Elsersy","year":"2017","journal-title":"Int J Reprod Contracept Obstet Gynecol"},{"key":"R21-20250920","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1097\/SPV.0000000000000815","article-title":"The Stress Urinary Incontinence in CrossFit (SUCCeSS) study","volume":"26","author":"Elks","year":"2020","journal-title":"Female Pelvic Med Reconstr Surg"},{"key":"R22-20250920","doi-asserted-by":"crossref","first-page":"749","DOI":"10.1002\/nau.23912","article-title":"The effects of high impact cross fit exercises on stress urinary incontinence in physically active women","volume":"38","author":"Yang","year":"2019","journal-title":"Neurourol Urodyn"},{"key":"R23-20250920","doi-asserted-by":"crossref","first-page":"497","DOI":"10.1136\/jech.47.6.497","article-title":"Validation of a severity index in female urinary incontinence and its implementation in an epidemiological survey","volume":"47","author":"Sandvik","year":"1993","journal-title":"J Epidemiol Community Health"},{"key":"R24-20250920","doi-asserted-by":"crossref","first-page":"418","DOI":"10.1002\/nau.20246","article-title":"Construct validity of the incontinence severity index","volume":"25","author":"Murphy","year":"2006","journal-title":"Neurourol Urodyn"},{"key":"R25-20250920","doi-asserted-by":"crossref","first-page":"k4231","DOI":"10.1136\/bmj.k4231","article-title":"Surgical mesh and patient safety","volume":"363","author":"Heneghan","year":"2018","journal-title":"BMJ"},{"key":"R26-20250920","first-page":"CD006375","article-title":"Mid-urethral sling operations for stress urinary incontinence in women","volume":"7","author":"Ford","year":"2015","journal-title":"Cochrane Database Syst Rev"},{"key":"R27-20250920","doi-asserted-by":"crossref","first-page":"l1842","DOI":"10.1136\/bmj.l1842","article-title":"Surgical interventions for women with stress urinary incontinence: Systematic review and network meta-analysis of randomised controlled trials","volume":"365","author":"Imamura","year":"2019","journal-title":"BMJ"},{"key":"R28-20250920","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1016\/j.eursup.2017.12.003","article-title":"Sling surgery for female incontinence","volume":"17","author":"Sievert","year":"2018","journal-title":"Eur Urol Suppl"},{"key":"R29-20250920","doi-asserted-by":"crossref","first-page":"1","DOI":"10.3310\/hta23140","article-title":"The effectiveness and cost-effectiveness of surgical treatments for women with stress urinary incontinence: An evidence synthesis, economic evaluation and discrete choice experiment (ESTER)","volume":"23","author":"Brazzelli","year":"2019","journal-title":"Health Technol Assess"},{"key":"R30-20250920","doi-asserted-by":"crossref","first-page":"12015","DOI":"10.1038\/s41598-017-11821-w","article-title":"Complications following vaginal mesh procedures for stress urinary incontinence: An 8 year study of 92,246 women","volume":"7","author":"Keltie","year":"2017","journal-title":"Sci Rep"}],"container-title":["Journal of Mid-life Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jmh.JMH_113_20","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:50:43Z","timestamp":1787838643000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jmh.JMH_113_20"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4]]},"references-count":29,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/jmh.jmh_113_20","relation":{},"ISSN":["0976-7800","0976-7819"],"issn-type":[{"value":"0976-7800","type":"print"},{"value":"0976-7819","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4]]},"assertion":[{"value":"2020-05-28","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-03-10","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}