title: Tension-free vaginal tape for surgical relief of intrinsic sphincter deficiency: results of 5-year follow-up.
abstract: OBJECTIVE
  We evaluated effectiveness of tension-free vaginal tape application for surgical relief of intrinsic sphincter deficiency.
  
  
  METHODS
  A prospective study (Canadian Task Force classification II-3).
  
  
  METHODS
  Tertiary center of medical faculty.
  
  
  METHODS
  We studied 47 patients.
  
  
  METHODS
  Tension-free vaginal tape procedure, questionnaire form, stress test, cotton swab test, and functional bladder volume measurements.
  
  
  RESULTS
  Patients were grouped as intrinsic sphincter deficiency according to American College of Obstetricians and Gynecologists criteria. Operative results were documented at 6, 12, 36, and 60 months after the procedure by using a questionnaire form and objective tests of stress test, cotton swab test, and mean bladder functional volume measurement. At first visit 6 months after procedure, 70% (n = 35) of patients were completely satisfied, 9 (18%) had improved urine control, and 5 (10%) had no change in urine control. Results were: 72% (n = 36), 12% (n = 6), and 14 (n = 7%) at the end of the first year, and 66% (n = 33), 20% (n = 10), and 14% (n = 7) at the end of the third year, respectively. The fifth year's follow-up visit revealed 57.4% (n = 27 of 47) satisfaction, 17.02% (8 of 47) improved urine control, and 25.5% (12 of 47) no change in urine control.
  
  
  CONCLUSIONS
  Tension-free vaginal tape procedure is a safe and effective technique for patients who have exclusively intrinsic sphincter deficiency. Long-term results will clarify the value of this procedure in comparison with classic antistress surgical techniques.
authors.affiliation: Department of Obstetrics and Gynecology, Gulhane Military Medical Academy and Medical School, Ankara, Turkey. ugoktolga@yahoo.com
authors.forename: Umit
authors.initials: U
authors.lastname: Goktolga
authors.forename: Vedat
authors.initials: V
authors.lastname: Atay
authors.forename: Lutfi
authors.initials: L
authors.lastname: Tahmaz
authors.forename: Mufit C
authors.initials: MC
authors.lastname: Yenen
authors.forename: Sadettin
authors.initials: S
authors.lastname: Gungor
authors.forename: Temel
authors.initials: T
authors.lastname: Ceyhan
authors.forename: Iskender
authors.initials: I
authors.lastname: Baser
mesh_terms: D000328:Adult; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D017773:Pelvic Floor / Q000601:surgery; D053825:Suburethral Slings; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods*