Long-term outcomes of the tension-free vaginal tape procedure for female stress urinary incontinence: 7-Year follow-up in China - Abstract

STUDY OBJECTIVE: To estimate the long-term objective rates of cure, late complications, and satisfaction after tension-free vaginal tape (TVT) procedure.

 

DESIGN: Retrospective study (Canadian Task Force classification II-3).

SETTING: Single-center.

PATIENTS: Fifty-five patients with moderate to severe stress urinary incontinence (SUI) underwent the TVT procedure from May 2002 to March 2005. 

INTERVENTION: TVT procedure.

MEASUREMENTS AND MAIN 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.

Written by: 
Li B, Zhu L, Lang JH, Fan R, Xu T. Are you the author? 
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.

Reference: J Minim Invasive Gynecol. 2012 Mar-Apr;19(2):201-5. 
doi: 10.1016/j.jmig.2011.12.003

PubMed Abstract 
PMID: 22285677