Long-Term Results With Tension-Free Vaginal Tape on Mixed and Stress Urinary Incontinence
- 1 July 2005
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Obstetrics & Gynecology
- Vol. 106 (1), 38-43
- https://doi.org/10.1097/01.aog.0000167393.95817.dc
Abstract
Objective: To compare outcome of the tension-free vaginal tape (TVT) procedure in women with urinary mixed and stress incontinence. Methods: A mailed questionnaire was answered by 760 of 970 women who had undergone TVT surgery 2–8 years ago (78% response rate). Seventeen women had unclassified incontinence, and 51 women who developed de novo urgency were excluded, giving 580 (83.8%) with stress incontinence and 112 (16.2%) women with mixed incontinence eligible for analysis. Demographic, reproductive factors, and medical history were obtained. The questionnaire included detailed questions about urinary symptoms. Analysis of outcome was done for cohorts by number of years since the operation. Results: The women with stress incontinence had a persistent cure rate of 85% from 2 to 8 years after the TVT procedure. The women with mixed incontinence had a persistent cure rate of 60% up to 4 years postoperatively, but the cure rate then steadily declined to 30% from 4 to 8 years after surgery. The increased rate of incontinence was due to urgency symptoms. Conclusion: The results of this study indicate that initial good cure rates of TVT for mixed incontinence do not persist after 4 years. Level of Evidence: IIIKeywords
This publication has 15 references indexed in Scilit:
- Mixed incontinenceUrology, 2004
- Tension-free vaginal tape (TVT) in the treatment of urinary stress incontinence: 3 years experience involving 256 operationsEuropean Journal of Obstetrics & Gynecology and Reproductive Biology, 2002
- The standardisation of terminology of lower urinary tract function: Report from the standardisation sub‐committee of the International Continence SocietyNeurourology and Urodynamics, 2002
- Objective and subjective cure rates after tension-free vaginal tape for treatment of urinary incontinenceUrology, 2001
- How widespread are the symptoms of an overactive bladder and how are they managed? A population‐based prevalence studyBJU International, 2001
- Tension-Free Vaginal Tape: Analysis of Outcomes and Complications in 404 Stress Incontinent WomenInternational Urogynecology Journal, 2001
- Tension-Free Vaginal Tape (TVT) in Women with Mixed Urinary Incontinence – A Long-Term Follow-upInternational Urogynecology Journal, 2001
- The tension‐free vaginal tape procedure is successful in the majority of women with indications for surgical treatment of urinary stress incontinenceBJOG: An International Journal of Obstetrics and Gynaecology, 2001
- Intravaginal Slingplasty (IVS): An Ambulatory Surgical Procedure for Treatment of Female Urinary IncontinenceScandinavian Journal of Urology and Nephrology, 1995
- Suprapubic suspension of Kaufman urinary incontinence prosthesisUrology, 1980