title: Reasons for dissatisfaction ten years after TVT procedure.
abstract: OBJECTIVE
  The aim of the study was to assess the reasons for dissatisfaction 10 years after TVT placement.
  
  
  METHODS
  Patients who underwent TVT surgery between 1999 and 2001 at two participating units were included. All patients who did not consider themselves to be cured were asked for their reasons.
  
  
  RESULTS
  141 out of 210 patients (81 %) were available for follow-up (median 116 months). In the group of 56 patients who did not consider themselves cured, the reasons were OAB symptoms in 29 patients (52 %), stress urinary incontinence in 13 patients (23 %), and complaints of mixed urinary incontinence in 8 patients (14 %). 85 % of all patients reporting urgency complaints at the time of follow-up and 66 % of patients with SUI at the time of follow-up did not consider themselves cured.
  
  
  CONCLUSIONS
  In most cases overactive bladder symptoms were the reason for dissatisfaction. The results of this study support using composite outcomes to assess the results of surgery for urinary incontinence.
authors.affiliation: Department of Gynecology and Obstetrics, Medical University of Graz, Auenbruggerplatz 14, 8036, Graz, Austria, aigmueller@gmail.com.
authors.forename: Thomas
authors.initials: T
authors.lastname: Aigmueller
authors.forename: Vesna
authors.initials: V
authors.lastname: Bjelic-Radisic
authors.forename: Julia
authors.initials: J
authors.lastname: Kargl
authors.forename: Susanne
authors.initials: S
authors.lastname: Hinterholzer
authors.forename: Rene
authors.initials: R
authors.lastname: Laky
authors.forename: Gerda
authors.initials: G
authors.lastname: Trutnovsky
authors.forename: Vassiliki
authors.initials: V
authors.lastname: Kolovetsiou-Kreiner
authors.forename: Karl
authors.initials: K
authors.lastname: Tamussino
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000379:methods*; D006801:Humans; D015994:Incidence; D008137:Longitudinal Studies; D008875:Middle Aged; D017060:Patient Satisfaction; D012008:Recurrence; D053825:Suburethral Slings; D017211:Treatment Failure; D016896:Treatment Outcome; D053201:Urinary Bladder, Overactive / Q000453:epidemiology*; D014550:Urinary Incontinence, Stress / Q000453:epidemiology / Q000601:surgery*
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