title: Tension-free vaginal tape-obturator procedure for treatment of severe urodynamic stress incontinence: subjective and objective outcomes during 2 years of follow-up.
abstract: OBJECTIVE
  To report our experience of the tension-free vaginal tape-obturator (TVT-O) procedure for the treatment of severe female urodymanic stress incontinence (USI) during 2 years of follow-up.
  
  
  METHODS
  Between January 2005 and June 2007, 67 women with severe USI who underwent the TVT-O procedure were enrolled in the study. Pelvic examination, pad test, urodynamic study, and quality of life (QoL) assessment were performed pre- and post-operatively. Regular follow-up was arranged for analysis.
  
  
  RESULTS
  The median duration of follow-up was 24 months. The objective cure rate was 76.2%. The postoperative pad test revealed significant reduction of leakage. The subjective cure rate was 83.5%, and improvement occurred in 14.9%. The postoperative QoL showed significant improvement. One (1.5%) extrusion of tape occurred and three cases of de novo detrusor overactivity were detected. Three patients (4.4%) had immediate postoperative urine retention. No major complications occurred.
  
  
  CONCLUSIONS
  Our results show that the TVT-O procedure is an effective and safe surgical procedure for severe female USI with satisfactory outcomes, significant improvement in quality of life, and few complications during 2 years of follow-up.
authors.affiliation: Department of Obstetrics and Gynecology, Mackay Memorial Hospital, Taipei, Taiwan. drthsu@mail.itrip.com.tw
authors.forename: Tsung-Hsien
authors.initials: TH
authors.lastname: Su
authors.forename: Wen-Chu
authors.initials: WC
authors.lastname: Huang
authors.forename: Mei-Yu
authors.initials: MY
authors.lastname: Lee
authors.forename: Tzu-Yin
authors.initials: TY
authors.lastname: Lin
authors.forename: Hui-Chin
authors.initials: HC
authors.lastname: Chang
authors.forename: Chih-Ping
authors.initials: CP
authors.lastname: Chen
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction; D011788:Quality of Life; D053825:Suburethral Slings; D014550:Urinary Incontinence, Stress / Q000601:surgery*