EAU 2019: Success and Satisfaction of Tension-Free Vaginal Tape Surgery in Females with Stress Urinary Incontinence: 17 Years Follow-Up

Barcelona, Spain (UroToday.com) Tension-free Vaginal Tape (TVT) procedure is proved to be a safe and effective surgical method for stress urinary incontinence (SUI).

In this study authors evaluate the surgical outcomes at 17 years after the TVT surgery which was performed to manage females with SUI.

Dr. Shin and colleagues analyzed 110 women with SUI who underwent the TVT procedure, 51 patients were followed up for at least 17 years postoperatively. Long-term evaluations were performed via questionnaires on the durability of the surgical outcome and the patients' satisfaction with the procedure. All the patients were asked about their voiding symptoms as well as any recurrence by conducting detailed telephone interviews.

The mean follow-up period was 207.62 ± 8.46 months. Of the 51 patients who were followed up for at least 17 years, the patients were classified according to their symptom grades; grade I (25.49%), grade II (54.90%) and grade III (19.61%). The TVT procedure remained successful in 42 patients (82.35%): SUI was remained cured in 28 patients (54.90%) and improved in 14 patients (27.45%) while recurred incontinence was observed in 9 patients (17.65%). According to the telephone interviews, 26 patients (50.98%) were very satisfied and 16 patients (31.37%) were satisfied with the TVT procedure.

Based on their results, the authors demonstrated that TVT surgery is an effective treatment for stress urinary incontinence, with long-term durability of continence and minimal complications related to the surgery.

Presented by: Dong Gil Shin, Pusan National University Hospital, Department of Urology, Busan, South Korea,

Written by: Olesya Snurnitsyna, MD, Fellow, Department of Urology, Sechenov University, Moscow, Russia at the 34th European Association of Urology (EAU 2019) #EAU19 conference in Barcelona, Spain, March 15-19, 2019.