Long-term results of tension-free vaginal tape for female urinary incontinence: follow up over 6 years.
OBJECTIVE
To describe the long-term outcome of using tension-free vaginal tape (TVT) with and without associated procedures.


METHODS
A questionnaire was mailed to a population of 61 women who had undergone TVT surgery more than 6 years ago. Of this population, 41 (80%) had suffered from stress urinary incontinence (SUI). The questionnaire included questions about urinary symptoms, satisfaction and quality of life. The questionnaire was answered by 51 of the 61 women.


RESULTS
Mean follow up was 83 months. The women with SUI had a persistent cure rate of 80% with a satisfaction rate of 97%. The cure rate after 6 years was 37% in women with mixed incontinence. Concomitant hysterectomy (relative risks = 0.87) and body mass index (BMI) do not alter the long-term results of TVT procedure. Peroperative bladder injury is not associated with an increased risk of long-term lower urinary tract symptoms (LUTS) or with a decreased satisfaction rate (relative risks = 0.85).


CONCLUSIONS
Concomitant hysterectomy, increased BMI and bladder injury do not alter good long-term results of TVT.
Deffieux
Xavier
X
AP-HP, Groupe Hospitalier Universitaire Sud, Hôpital Antoine Béclère, Service de Gynécologie Obstétrique, Clamart, France. x.deffieux@free.fr
Donnadieu
Anne Claire
AC
Porcher
Raphaël
R
Gervaise
Amelie
A
Frydman
Rene
R
Fernandez
Herve
H
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction; D011183:Postoperative Complications; D011788:Quality of Life; D053825:Suburethral Slings; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000523:psychology* / Q000601:surgery*