Seventeen years' follow-up of the tension-free vaginal tape procedure for female stress urinary incontinence

Nilsson, C. G.Department of Obstetrics and Gynecology, Helsinki University, Central Hospital, Finland (författare)

The minimally invasive tension-free vaginal tape (TVT) operation has become the "gold standard" of incontinence surgery. The aim of the present study was to evaluate the long-term effect of the tape material and to assess the continence status 17 years after surgery A cohort of 90 women operated upon with the TVT procedure at three Nordic centers has been prospectively followed for 17 years. All of the women alive according to national registries were contacted and invited to visit the clinics for evaluation. Pelvic examination was performed to reveal any adverse effects of the tape material. Objective and subjective continence status were assessed by a cough stress test and the patients' global impression of improvement as well as by condition-specific quality of life questionnaires. Seventy-eight percent of the potentially assessable women were evaluated either by a clinic visit or by a telephone interview. One case of a minimal, symptom-free tape extrusion was seen. No other tape complications occurred. Over 90 % of the women were objectively continent. Eighty-seven per cent were subjectively cured or significantly improved. The TVT operation is durable for 17 years, with a high satisfaction rate and no serious long-term tape-induced adverse effects.

Palva, K.Department of Obstetrics and Gynecology, Helsinki University, Central Hospital, Finland (författare)
Aarnio, Riina,1971-Uppsala universitet,Institutionen för kvinnors och barns hälsa,Klinisk och experimentell reproduktionsbiologi/Olovsson(Swepub:uu)riiaa788 (författare)
Morcos, E.Karolinska Institutet (författare)
Falconer, C.Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden (författare)
Department of Obstetrics and Gynecology, Helsinki University, Central Hospital, FinlandInstitutionen för kvinnors och barns hälsa (creator_code:org_t)

Ingår i:International Urogynecology Journal: Springer Science and Business Media LLC24:8, s. 1265-12690937-34621433-3023

Av författaren/redakt...: Nilsson, C. G.; Palva, K.; Aarnio, Riina, 1 ...; Morcos, E.; Falconer, C.

Om ämnet

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Urologi och njur ...

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