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