title: Ten-year follow-up after the tension-free vaginal tape procedure.
abstract: OBJECTIVE
  The current study aimed to evaluate objective and subjective results 10 years after the tension-free vaginal tape procedure.
  
  
  METHODS
  Two hundred ten patients who underwent a tension-free vaginal tape procedure at the 2 participating units between 1999 and 2001 were invited for follow-up. Evaluation at 10 years included history, clinical examination, cystoscopy, urodynamics, a cough stress test, and the Incontinence Outcome Questionnaire.
  
  
  RESULTS
  Interview data were available for 67%; full clinical investigation was performed in 56% of patients. At 10 years, the clinical stress test was negative in 84%, slightly positive in 8.5%, and strongly positive in 4.3%. Subjectively, 57% of patients considered themselves "cured," 23% "improved," 6.4% "unchanged," and 11% "worse." Eleven of 141 (7.8%) had been reoperated in the interim. The rate of de novo urgency was 20%. Obesity seemed to be a risk factor for failure.
  
  
  CONCLUSIONS
  These data indicate satisfactory objective and subjective cure rates 10 years after tension-free vaginal tape procedure placement.
authors.affiliation: Departments of Obstetrics and Gynecology, Medical University of Graz, Graz, Austria.
authors.forename: Thomas
authors.initials: T
authors.lastname: Aigmueller
authors.forename: Gerda
authors.initials: G
authors.lastname: Trutnovsky
authors.forename: Karl
authors.initials: K
authors.lastname: Tamussino
authors.forename: Julia
authors.initials: J
authors.lastname: Kargl
authors.forename: Anna
authors.initials: A
authors.lastname: Wittmann
authors.forename: Milana
authors.initials: M
authors.lastname: Surtov
authors.forename: Petra
authors.initials: P
authors.lastname: Kern
authors.forename: Andrea
authors.initials: A
authors.lastname: Frudinger
authors.forename: Paul
authors.initials: P
authors.lastname: Riss
authors.forename: Vesna
authors.initials: V
authors.lastname: Bjelic-Radisic
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction; D053825:Suburethral Slings; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D014563:Urodynamics