10-year follow-up after the TVT-O procedure for stress urinary incontinence

Suburethral tapes are a standard surgical treatment for stress urinary incontinence (SUI). The aim of the study was to evaluate subjective and objective cure rates 10 years after TVT-O procedure.

All 124 patients who underwent the TVT-O at two centers in 2004 and 2005 were invited for follow-up. Objective cure was defined as a negative cough stress test at 300 ml. Subjects completed the Kings´ Health Questionnaire (KHQ), Incontinence Outcome Questionnaire (IOQ), Female Sexual Function Index Questionnaire (FSFI) and the Patient Global Impression of Improvement score (PGII).

Overall, 55 (49%) of 112 women who were alive were available for clinical examination and 71 (63%) completed the questionnaires. The objective cure rate in the 55 women examined clinically was 69%, 22% were not cured and 9% (n=5) had undergone reoperation for recurrent or persistent SUI. These 5 women counted as failures for the purpose of this study. 45/71 (64%) women reported subjective cure. Three (5%) patients had vaginal tape extrusion at time of clinical examination, all of which were small and asymptomatic and did not require treatment with a cumulative extrusion rate of 7%. 6 women (9%) had undergone reoperation for TVT-O associated complications. 18 (26%) experienced de novo overactive bladder.

Subjective and objective cure rates 10 years after the TVT-O procedure were 69% and 64%, respectively. The vaginal extrusion rate in this study was slightly higher than in other series, but major long-term complications appear rare.

The Journal of urology. 2016 May 12 [Epub ahead of print]

Daniela Ulrich, Ayman Tammaa, Susanne Hölbfer, Gerda Trutnovsky, Vesna Bjelic-Radisic, Karl Tamussino, Thomas Aigmüller

Department of Obstetrics and Gynecology, Medical University of Graz, Auenbruggerplatz 14, A-8036 Graz, Austria. Electronic address: ., Department of Obstetrics and Gynecology, Medical University of Graz, Auenbruggerplatz 14, A-8036 Graz, Austria; Department of Obstetrics and Gynecology, Wilhelminenspital, Montleartstrasse 37, A-1171 Vienna, Austria., Department of Obstetrics and Gynecology, Wilhelminenspital, Montleartstrasse 37, A-1171 Vienna, Austria., Department of Obstetrics and Gynecology, Medical University of Graz, Auenbruggerplatz 14, A-8036 Graz, Austria. Electronic address: ., Department of Obstetrics and Gynecology, Medical University of Graz, Auenbruggerplatz 14, A-8036 Graz, Austria., Department of Obstetrics and Gynecology, Medical University of Graz, Auenbruggerplatz 14, A-8036 Graz, Austria., Department of Obstetrics and Gynecology, Medical University of Graz, Auenbruggerplatz 14, A-8036 Graz, Austria.

Pelvic Health Weekly Newsletter