The 7‐year outcome of the tension‐free vaginal tape procedure for treating female stress urinary incontinence
Open Access
- 14 September 2009
- journal article
- research article
- Published by Wiley in BJU International
- Vol. 104 (8), 1113-1117
- https://doi.org/10.1111/j.1464-410x.2009.08504.x
Abstract
To evaluate the long-term results and predictive risk factors for efficacy after the tension-free vaginal tape (TVT) procedure for treating female stress urinary incontinence (SUI). Inall, 306 women (mean age 50.7 years, sd 8.7) who had a TVT procedure for SUI were selected and followed >or=7 years (mean 92.3 months, range 84-110) after surgery. We analysed the long-term results, the variables predictive of cure rates, and patient satisfaction. The overall 7-year cure rate was 84.6%, with a satisfaction rate of 69.3%. The cure rates were lower in patients with high-grade SUI (50% in grade III, 82.8% in grade II and 90.7% in grade I; P < 0.001). On multivariate analysis, there were no independent risk factors related to cure rate, and urgency was the only factor independently associated with patient satisfaction (P = 0.008; odds ratio 2.47). Seventy-one patients (23.2%) had complications at the 1-month follow-up after surgery, but only eight (2.6%) had complications at the 7-year follow-up, including mesh exposure in six and de novo urgency in two. The absence of long-term adverse events associated with the TVT procedure, and high subjective and objective 7-year success rates with no independent predictive factors affecting the long-term cure rate, make the TVT procedure a recommendable surgical treatment for female SUI.Keywords
This publication has 20 references indexed in Scilit:
- What determines a successful tension-free vaginal tape? A prospective multicenter cohort study: Results from The Netherlands TVT databaseAmerican Journal of Obstetrics and Gynecology, 2006
- Comparison of Retropubic and Outside-In Transoburator Sling Systems for the Cure of Female Genuine Stress Urinary IncontinenceEuropean Urology, 2005
- Long-Term Results With Tension-Free Vaginal Tape on Mixed and Stress Urinary IncontinenceObstetrics & Gynecology, 2005
- Outcome of the use of tension-free vaginal tape in women with mixed urinary incontinence, previous failed surgery, or low valsalva pressureJournal of Obstetrics and Gynaecology Research, 2005
- Prevalence of Persistent and De Novo Overactive Bladder Symptoms After the Tension-Free Vaginal TapeObstetrics & Gynecology, 2004
- TENSION-FREE VAGINAL TAPE PROCEDURE FOR THE TREATMENT OF FEMALE STRESS URINARY INCONTINENCE: LONG-TERM RESULTSJournal of Urology, 2004
- Complications of tension‐free vaginal tape surgery: a multi‐institutional reviewBJU International, 2004
- Tape Related Complications of the Tension-Free Vaginal Tape ProcedureJournal of Urology, 2004
- Ultrasonographic and urodynamic evaluation after tension free vagina tape procedure (TVT)Acta Obstetricia et Gynecologica Scandinavica, 2001
- Endoscopic Suspension of the Vesical Neck for Urinary Incontinence in FemalesAnnals of Surgery, 1980