Tension-free vaginal tape for treatment of pure urodynamic stress urinary incontinence: efficacy and adverse effects at 17-year follow-up

BJU International
Andrea BragaMaurizio Serati

Abstract

To assess the efficacy and safety of retropubic tension-free vaginal tape (TVT) 17 years after implantation for the treatment of female pure stress urinary incontinence (SUI). A prospective study was conducted in two urogynaecological units in two countries. All consecutive women with urodynamically proven pure SUI treated by TVT were included. Patients with mixed incontinence and/or anatomical evidence of pelvic organ prolapse were excluded. Data regarding subjective outcomes (International Consultation on Incontinence Questionnaire-Short Form, Patient Global Impression of Improvement, and patient satisfaction scores), objective cure (stress test) rates, and adverse events were collected during follow-up. Univariable analysis was performed to investigate outcomes. A total of 52 women underwent TVT implantation. At 17-year follow-up, 46 women (88.4%) were available for the evaluation. We did not find any significant change in surgical outcomes during this time. At 17 years after surgery, 41 of 46 women (89.1%) declared themselves cured (P = 0.98). Similarly, at 17-year evaluation, 42 of 46 women (91.4%) were objectively cured. No significant deterioration in objective cure rates was observed over time (P for trend 0.50). The un...Continue Reading

References

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Feb 19, 2013·International Urogynecology Journal·Rune SvenningsenSigurd Kulseng-Hanssen
Oct 20, 2015·Neurourology and Urodynamics·Maurizio SeratiFabio Ghezzi

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Citations

Feb 19, 2019·Climacteric : the Journal of the International Menopause Society·A-M Itkonen FreitasM Mentula
Sep 23, 2020·Neurourology and Urodynamics·Librado ValadezAlex Gomelsky
Dec 1, 2019·International Urogynecology Journal·Andrea BragaMaurizio Serati
Apr 20, 2021·Aktuelle Urologie·Albert Kaufmann
May 5, 2021·Der Urologe. Ausg. A·M Grabbert, R M Bauer
Jun 18, 2021·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Huitao WangXin Shi
Nov 17, 2021·Neurourology and Urodynamics·Jordi SabadellJose L Poza

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