title: Tension-free vaginal tape: a prospective subjective and objective outcome analysis.
abstract: The purpose of this prospective study was to describe the effects of the tension-free vaginal tape (TVT) procedure on subjective and objective outcomes. Eighty-seven women (aged 31-95 years) underwent a TVT procedure and were followed for up to 24 months using the Incontinence Impact Questionnaire (IIQ-7), Urogenital Distress Inventory (UDI-6), and a Patient Satisfaction Questionnaire. IIQ-7 scores improved from a mean 51.1 before surgery to 12.7 at 1 month (p<0.001) indicating reduced impact of incontinence on quality of life. UDI-6 scores declined from a mean 61.8 to 21.9 (p<0.001) indicating improvement in urinary symptoms. At 1 month, 91.2% of patients were satisfied. Improvements on all measures were maintained throughout follow-up. Urodynamic evaluation of 57 patients (mean: 15.0 months) showed that 91.2% had a negative stress test. Results indicate significant immediate and sustained improvement in incontinence impact and urinary symptoms, and a high rate of patient satisfaction and objective cure.
authors.affiliation: Department of Obstetrics and Gynecology, Division of Medical Surgical Gynecology, University of Alabama at Birmingham, 620 20th Street South, NHB 219, Birmingham, AL 35249-7333, USA. hrichter@uabmc.edu
authors.forename: Holly E
authors.initials: HE
authors.lastname: Richter
authors.forename: Andy M
authors.initials: AM
authors.lastname: Norman
authors.forename: Kathryn L
authors.initials: KL
authors.lastname: Burgio
authors.forename: Patricia S
authors.initials: PS
authors.lastname: Goode
authors.forename: Kate Clark
authors.initials: KC
authors.lastname: Wright
authors.forename: Jodie
authors.initials: J
authors.lastname: Benton
authors.forename: R Edward
authors.initials: RE
authors.lastname: Varner
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D011446:Prospective Studies; D011788:Quality of Life; D013315:Stress, Psychological / Q000209:etiology*; D013526:Surgical Mesh; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000503:physiopathology / Q000523:psychology / Q000601:surgery*; D014563:Urodynamics; D013520:Urologic Surgical Procedures / Q000295:instrumentation*; D014621:Vagina / Q000601:surgery*