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Kim, Bae, and Lee: Long-term Follow-up of the Tension-free Vaginal Tape (TVT) Procedure for Treating Female Stress Urinary Incontinence
Original Article
Korean Journal of Urology

Korean Journal of Urology 2006; 47(7): 729-733.

Published online: 31 July 2006

DOI: https://doi.org/10.4111/kju.2006.47.7.729

Long-term Follow-up of the Tension-free Vaginal Tape (TVT) Procedure for Treating Female Stress Urinary Incontinence

No Soo Kim, Jae Hyun Bae, Jeong Gu Lee

Department of Urology, College of Medicine, Korea University, Seoul, Korea.

Corresponding author (jeongkl@kumc.or.kr)

Received 3 March 2006       Accepted 18 April 2006

Copyright © 2006 The Korean Urological Association

Abstract

Purpose

We wanted to evaluate the long-term results of the tension-free vaginal tape (TVT) procedure for treating stress urinary incontinence in women.

Materials and Methods

Of 211 women who underwent the TVT procedure for stress urinary incontinence, 124 were followed up for at least 5 years following surgery. Preoperatively, the patients were evaluated with history taking, physical examinations, one hour pad tests, urine analysis, urine cultures and complete multichannel urodynamic studies. Long-term evaluations were performed via questionnaires on the durability of the surgical outcome and the patients' satisfaction with the procedure.

Results

The follow-up period was a mean of 66.8 months. Of the 124 patients who were followed up for at least 5 years, the TVT procedure remained successful in 95.2% (cured: 71.0%, improved: 24.2%). 115 patients (92.7%) were satisfied with the TVT procedure. Also, 103 (83.1%) patients would like to recommend the TVT procedure to others. There were no serious or long-term complications related to the procedure. The factors related with the cure rate of the TVT procedure were the age of the patient, the presence or absence of combined urge incontinence and a past history of pelvic surgery.

Conclusions

The TVT procedure showed a good long-term cure rate for treating female stress urinary incontinence. The procedure was less effective for the women with proven associated urge incontinence, a positive past history of the pelvic surgery and an older age.

Keywords: Stress urinary incontinence, Female, Surgical mesh

Figures and Tables

Table 1
Characteristics of the patients (mean±SEM)
kju-47-729-i001

VLPP: Valsalva leak point pressure

Table 2
Postoperative complications
kju-47-729-i002
Table 3
Factors affecting the outcome results
kju-47-729-i003

Prev. pelvic surgery: previous pelvic surgery, VLPP: Valsalva leak point pressure

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