title: Long-term outcomes of the tension-free vaginal tape procedure for female stress urinary incontinence: 7-year follow-up in China.
abstract: OBJECTIVE
  To estimate the long-term objective rates of cure, late complications, and satisfaction after tension-free vaginal tape (TVT) procedure.
  
  
  METHODS
  Retrospective study (Canadian Task Force classification II-3).
  
  
  METHODS
  Single-center.
  
  
  METHODS
  Fifty-five patients with moderate to severe stress urinary incontinence (SUI) underwent the TVT procedure from May 2002 to March 2005.
  
  
  METHODS
  TVT procedure.
  
  
  RESULTS
  Changes in 1-hour pad test results and incontinence quality-of-life (I-QOL) questionnaire scores before surgery and at 1- and 7-year follow-up were compared. Changes in objective rates of cure, late complications, and satisfaction at 1- and 7-year follow-up were also compared. The mean duration of follow-up was 6.80 years. Both the 1-hour pad test results and the I-QOL questionnaire scores improved significantly after surgery (p < .001). The TVT procedure satisfaction rate at 7-year follow-up decreased significantly compared with that at 1-year follow-up (p = .001); however, I-QOL score did not change significantly.
  
  
  CONCLUSIONS
  The TVT procedure is an effective treatment for SUI in female patients. Despite little persistent or recurrent SUI over 7-year follow-up, satisfaction with the procedure decreases. Therefore, other age-related bladder conditions must be considered when counseling patients about the TVT procedure. Assessment of the efficacy of the TVT procedure should include both objective and subjective standards.
authors.affiliation: Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and School of Basic Medicine, Peking Union Medical College, Beijing, China.
authors.forename: Bin
authors.initials: B
authors.lastname: Li
authors.forename: Lan
authors.initials: L
authors.lastname: Zhu
authors.forename: Jing-He
authors.initials: JH
authors.lastname: Lang
authors.forename: Rong
authors.initials: R
authors.lastname: Fan
authors.forename: Tao
authors.initials: T
authors.lastname: Xu
mesh_terms: D002681:China; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000295:instrumentation*; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D011183:Postoperative Complications / Q000453:epidemiology; D011788:Quality of Life; D012189:Retrospective Studies; D053825:Suburethral Slings; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000295:instrumentation*