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International Urogynecology Journal

, Volume 30, Issue 2, pp 265–269 | Cite as

Assessment of the long-term outcome of TVT procedure for stress urinary incontinence in a female population: results at 17 years’ follow-up

  • Panagiotis BakasEmail author
  • Emmanouel Papadakis
  • Charalampos Karachalios
  • Ilias Liapis
  • Nikolaos Panagopoulos
  • Aggelos Liapis
Original Article
  • 127 Downloads

Abstract

Introduction and hypothesis

To assess the outcome of the tension-free vaginal tape (TVT) procedure in female patients with urodynamic stress urinary incontinence at 17 years follow-up.

Methods

We carried out a prospective study at the 2nd Department of Obstetrics and Gynecology, Aretaieio Hospital, University of Athens, Greece. Patients who had undergone a TVT procedure 17 years ago. The follow-up assessment included gynecological examination, urinalysis, cough stress test in the lithotomy and/or upright position, filling and voiding cystometry, and uroflow. Also, all patients were required to complete the Patient Satisfaction Questionnaire (PSQ).

Results

Out of the 61 initial patients, 56 were available for follow-up. Objective cure rate was 83.9% (47/56) at 17 years follow-up. Subjective cure rate was 78.6% (44/56), subjective improvement was 8.9%, and failure rate was 12.5%. Frequency was present in 39.3% of patients, overactive bladder symptoms were present in 30.3% of patients and urge urinary incontinence was reported by 12.5% of patients. Difficulty emptying the bladder was reported by 10 patients (17.8%) and recurrent urinary tract infection was seen in 3.5% of patients. There was one case of TVT erosion to the vaginal mucosa, which was managed conservatively.

Conclusions

The TVT procedure for the management of stress urinary incontinence in women maintains its efficacy in the long term, having an objective cure rate of 83.9% and a subjective cure rate of 78.6% at 17 years’ follow-up, with a very low complications rate.

Keywords

TVT Long term Stress incontinence Tension-free tape Outcome Results 

Notes

Compliance with ethical standards

Conflicts of interest

None.

References

  1. 1.
    Hunskaar S, Burgio K, Diokno A, Herzog AR, Hjalmas K, Lapitan MC. Epidemiology and natural history of urinary incontinence in women. Urology. 2003;62:16–23.CrossRefGoogle Scholar
  2. 2.
    Minassian VA, Stewart WF, Wood GC. Urinary incontinence in women: variation in prevalence estimates and risk factors. Obstet Gynecol. 2008;111:324–31.CrossRefGoogle Scholar
  3. 3.
    Ulmsten U, Petros P. Intravaginal slingplasty (IVS): an ambulatory surgical procedure for treatment of female urinary incontinence. Scand Nephrol. 1995;29:75–82.CrossRefGoogle Scholar
  4. 4.
    Ulmsten U, Henriksson L, Johnson P, Varhos G. An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 1996;7(2):81–5.CrossRefGoogle Scholar
  5. 5.
    Liapis A, Bakas P, Creatsas G. Tension-free vaginal tape in the management of recurrent urodynamic stress incontinence after previous failed midurethral tape. Eur Urol. 2009;55(6):1450–5.CrossRefGoogle Scholar
  6. 6.
    Gaddi A, Guaderrama N, Bassiouni N, Bebchuk J, Whitcomb EL. Repeat midurethral sling compared with urethral bulking for recurrent stress urinary incontinence. Obstet Gynecol. 2014;123(6):1207–12.CrossRefGoogle Scholar
  7. 7.
    Oliveira R, Silva A, Pinto R, Silva J, Silva C, Guimaraes M, et al. Short term assessment of a tension free vaginal tape for treating female stress urinary incontinence. BJU Int. 2009;104(2):225–8.CrossRefGoogle Scholar
  8. 8.
    Rizvi RM. Clinical and quality of life (QoL) outcomes in women treated by tension free vaginal tape (TVT). J Pak Med Assoc. 2009;59(5):274–7.Google Scholar
  9. 9.
    Delorme E. Transobturator urethral suspension: mini invasive procedure in the treatment of stress urinary incontinence in women. Prog Urol. 2001;11:1306–13.Google Scholar
  10. 10.
    De Leval J. Novel surgical technique for the treatment of female stress urinary incontinence: transobturator vaginal tape inside-out. Eur Urol. 2003;44:724–30.Google Scholar
  11. 11.
    Liapis A, Bakas P, Creatsas G. Long-term efficacy of tension-free vaginal tape in the management of stress urinary incontinence in women: efficacy at 5- and 7 year follow-up. Int Urogynecol J. 2008;19:1509–12.CrossRefGoogle Scholar
  12. 12.
    Chêne G, Amblard J, Tardieu AS, Escalona JR, Viallon A, Fatton B, et al. Long-term results of tension-free vaginal tape (TVT) for the treatment of female urinary stress incontinence. Eur J Obstet Gynecol Reprod Biol. 2007;134(1):87–94.CrossRefGoogle Scholar
  13. 13.
    Reich A, Kohorst F, Kreienberg R, Flock F. Long-term results of the tension-free vaginal tape procedure in an unselected group: a 7-year follow-up study. Urology. 2011;78(4):774–7.CrossRefGoogle Scholar
  14. 14.
    Doo CK, Hong B, Chung BJ, Kim JY, Jung HC, Lee KS, et al. Five year outcomes of the tension free vaginal tape procedure for treatment of female stress urinary incontinence. Eur Urol. 2006;50:333–8.CrossRefGoogle Scholar
  15. 15.
    Nilsson CG, Falconer C, Rezapour M. Seven year follow up of the tension free vaginal tape procedure for treatment of urinary incontinence. Obstet Gynecol. 2004;104:1259–62.CrossRefGoogle Scholar
  16. 16.
    Νilsson CG, Palva K, Rezapour M, et al. Eleven years prospective follow-up of the tension free vaginal tape procedure for treatment of stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 2008;19:1043–7.CrossRefGoogle Scholar
  17. 17.
    Ollson L, Abrahamsson AK, Kroon UB. Long-term efficacy of the tension-free vaginal tape procedure for the treatment of urinary incontinence: a retrospective follow up 11.5 years post-operatively. Int Urogynecol J Pelvic Floor Dysfunct. 2010;21:679–83.CrossRefGoogle Scholar
  18. 18.
    Serati M, Ghezzi F, Cattoni E, Braga A, Siesto G, Torella M, et al. Tension-free vaginal tape for the treatment of urodynamic stress incontinence: efficacy and adverse effects at 10-year follow-up. Eur Urol. 2012;61:939–46.CrossRefGoogle Scholar
  19. 19.
    Song PH, Kwon DH, Ko YH, Jung HC. The long-term outcomes of the tension-free vaginal tape procedure for treatment of female stress urinary incontinence: data from minimum 13 years of follow-up. Low Urin Tract Symptoms. 2017;9(1):10–4.CrossRefGoogle Scholar
  20. 20.
    Serati M, Sorice P, Bogani G, Braga A, Cantaluppi S, Uccela S, et al. TVT for the treatment of urodynamic stress incontinence: efficacy and adverse effects at 13-year follow up. Neurourol Urodyn. 2017;36:192–7.CrossRefGoogle Scholar
  21. 21.
    Νilsson CG, Palva K, Aarnio R, et al. Seventeen years follow up of the tension free vaginal tape procedure for female stress urinary incontinence. Int Urogynecol J. 2013;24:1265–9.CrossRefGoogle Scholar
  22. 22.
    Braga A, Caccia G, Sorice P, Cantaluppi S, et al. Tension-free vaginal tape for treatment of pure urodynamic stress urinary incontinence: efficacy and adverse effects at 17-year follow-up. BJU Int. 2018;22(1):113-117.CrossRefGoogle Scholar
  23. 23.
    Bump RC, Mattiasson A, Bo K, et al. The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol. 1996;75:10–7.CrossRefGoogle Scholar
  24. 24.
    Papapetros PE, Ulmsten UI. An integral theory of female urinary incontinence. Experimental and clinical considerations. Acta Obstet Gynecol Scand. 1990;69:153–7.CrossRefGoogle Scholar
  25. 25.
    Norton P, Brubaker L. Urinary incontinence in women. Lancet. 2006;367:57–67.CrossRefGoogle Scholar
  26. 26.
    Rogers R. Urinary stress incontinence in women. N Engl J Med. 2008;358:1029–36.CrossRefGoogle Scholar
  27. 27.
    Serati M, Salvatore S, Uccella S, Artibani W, Novara G, Cardozo L, et al. Surgical treatment for female stress urinary incontinence: what is the gold-standard procedure? Int Urogynecol J. 2009;20:619–21.CrossRefGoogle Scholar
  28. 28.
    Lose G, Klarskov N. Retropubic versus transobturator MUS: time to revisit? Int Urogynecol J. 2017;28:1113–4.CrossRefGoogle Scholar
  29. 29.
    Svenningsen R, Staff AC, Schiøtz HA, Western K, Kulseng-Hanssen S. Long term follow-up of the retropubic tension-free vaginal tape procedure. Int Urogynecol J. 2013;24:1271–8.CrossRefGoogle Scholar
  30. 30.
    Lord HE, Taylor JD, Finn JC, Tsokos N, Jeffery JT, Atherton MJ, et al. A randomized controlled equivalence trial of short term complications and efficacy of tension-free vaginal tape and suprapubic urethral support sling for treating stress incontinence. BJU Int. 2006;98(2):367–76.CrossRefGoogle Scholar

Copyright information

© The International Urogynecological Association 2018

Authors and Affiliations

  1. 1.2nd Department of Obstetrics and Gynecology, Aretaieio HospitalUniversity of AthensAthensGreece
  2. 2.Mitera Maternity HospitalAthensGreece

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