title: Patient-reported outcomes and urinary continence five years after the tension-free vaginal tape operation.
abstract: OBJECTIVE
  To evaluate patient-reported outcomes and continence rates 5 years after the tension-free vaginal tape (TVT) operation and to compare these with subjective and objective cure rates.
  
  
  METHODS
  A total of 101 patients underwent clinical and urodynamic assessment and completed the Incontinence Outcome Questionnaire (IOQ) 5 years after the retropubic TVT operation. The IOQ results were compared with the subjective and objective cure rates.
  
  
  RESULTS
  At 5 years 85% of patients had a negative clinical stress test. Based on clinical stress test, stable cystometry to ≥300  ml and residual volume ≤100  ml, the physician assessment of cure was 80%. Patient-reported outcome showed improvement in incontinence symptoms in 86% of patients. Eighty-three percent of patients were satisfied with the results and 92% would recommend the operation to others. The results of the IOQ correlated more with patient-reported than with physician-assessed cure rates.
  
  
  CONCLUSIONS
  Patient report high rates of satisfaction 5 years after the TVT operation.
authors.affiliation: Department of Obstetrics and Gynecology, Medical University of Graz, Graz, Austria. vesna.bjelic-radisic@medunigraz.at
authors.forename: Vesna
authors.initials: V
authors.lastname: Bjelic-Radisic
authors.forename: Elfriede
authors.initials: E
authors.lastname: Greimel
authors.forename: Gerda
authors.initials: G
authors.lastname: Trutnovsky
authors.forename: Willibald
authors.initials: W
authors.lastname: Zeck
authors.forename: Thomas
authors.initials: T
authors.lastname: Aigmueller
authors.forename: Karl
authors.initials: K
authors.lastname: Tamussino
mesh_terms: D000368:Aged; D001317:Austria; D005260:Female; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction; D011474:Prosthesis Design; D011788:Quality of Life; D020127:Recovery of Function; D053825:Suburethral Slings; D011795:Surveys and Questionnaires; D013997:Time Factors; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000503:physiopathology*; D014550:Urinary Incontinence, Stress / Q000503:physiopathology / Q000523:psychology / Q000601:surgery*; D014563:Urodynamics; D013520:Urologic Surgical Procedures / Q000295:instrumentation*