title: Ten-year subjective outcome results of the retropubic tension-free vaginal tape for treatment of stress urinary incontinence.
abstract: OBJECTIVE
  To assess the 10-year subjective outcome of use of retropubic tension-free vaginal tape (TVT).
  
  
  METHODS
  Structured telephone interview (Canadian Task Force classification II-3).
  
  
  METHODS
  Universitiy-affiliated tertiary medical center.
  
  
  METHODS
  Sixty consecutive women with urodynamically confirmed stress urinary incontinence (SUI) who underwent retropubic TVT surgery during 2000. At surgery, their mean (SD) age was 62.4 (9.3) years, and parity was 2.9 (1.3).
  
  
  METHODS
  Retropubic TVT, with 10-year subjective outcome questionaire.
  
  
  RESULTS
  Of the 60 patients, 52 (87%) were available for 10-year follow-up. Preoperatively, all patients reported substantial SUI, and 28 (54%) also had concomitant urge urinary incontinence (UUI). At 10 years postoperatively, 34 women (65%) considered their condition cured, 6 (12%) believed it was improved, and 12 (23%) thought surgery had failed. Eleven women (21%) reported SUI, 22 (42%) had UUI (de novo UUI in 9), and 8 (15%) had recurrent urinary tract infections. Two women (4%) underwent repeated TVT. Of the various perioperative variables, only postoperative impaired bladder emptying was a statistically independent risk factor for long-term failure (odds ratio, 6.4; 95% confidence interval, 1.3-30.1).
  
  
  CONCLUSIONS
  Ten-year subjective outcome of retropubic TVT are less favorable than previously reported. Early postoperative impaired bladder emptying is the most significant risk factor for long-term failure.
authors.affiliation: Department of Obstetrics and Gynecology, Lis Maternity Hospital, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel. agroutz@yahoo.com
authors.forename: Asnat
authors.initials: A
authors.lastname: Groutz
authors.forename: Gila
authors.initials: G
authors.lastname: Rosen
authors.forename: Aviad
authors.initials: A
authors.lastname: Cohen
authors.forename: Ronen
authors.initials: R
authors.lastname: Gold
authors.forename: Joseph B
authors.initials: JB
authors.lastname: Lessing
authors.forename: David
authors.initials: D
authors.lastname: Gordon
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction; D011446:Prospective Studies; D012307:Risk Factors; D053825:Suburethral Slings; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D053202:Urinary Incontinence, Urge / Q000601:surgery; D014563:Urodynamics