Ten-year follow-up after the tension-free vaginal tape procedure

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• 作者：Thomas Aigmueller ; MD^a ; Gerda Trutnovsky ; MD^a ; Karl Tamussino ; MD^a ; Julia Kargl ; MD^b ; Anna Wittmann ; MD^b ; Milana Surtov ; MD^a ; Petra Kern ; MD^a ; Andrea Frudinger ; MD^a ; Paul Riss ; MD^b ; Vesna Bjelic-Radisic ; MD^a
• 关键词：long-term follow-up ; stress urinary incontinence ; surgery ; tension-free vaginal tape ; TVT
• 刊名：American Journal of Obstetrics and Gynecology
• 出版年：2011
• 出版时间：November, 2011
• 年：2011
• 卷：205
• 期：5
• 页码：496.e1-496.e5
• 全文大小：307 K

文摘

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Objective

The current study aimed to evaluate objective and subjective results 10 years after the tension-free vaginal tape procedure.

Study Design

Two hundred ten patients who underwent a tension-free vaginal tape procedure at the 2 participating units between 1999 and 2001 were invited for follow-up. Evaluation at 10 years included history, clinical examination, cystoscopy, urodynamics, a cough stress test, and the Incontinence Outcome Questionnaire.

Results

Interview data were available for 67 % ; full clinical investigation was performed in 56 % of patients. At 10 years, the clinical stress test was negative in 84 % , slightly positive in 8.5 % , and strongly positive in 4.3 % . Subjectively, 57 % of patients considered themselves ¡°cured,¡± 23 % ¡°improved,¡± 6.4 % ¡°unchanged,¡± and 11 % ¡°worse.¡± Eleven of 141 (7.8 % ) had been reoperated in the interim. The rate of de novo urgency was 20 % . Obesity seemed to be a risk factor for failure.

Conclusion

These data indicate satisfactory objective and subjective cure rates 10 years after tension-free vaginal tape procedure placement.