International Urogynecology Journal

, Volume 19, Issue 8, pp 1043–1047

Eleven years prospective follow-up of the tension-free vaginal tape procedure for treatment of stress urinary incontinence

  • C. G. Nilsson
  • K. Palva
  • M. Rezapour
  • C. Falconer
Original Article

DOI: 10.1007/s00192-008-0666-z

Cite this article as:
Nilsson, C.G., Palva, K., Rezapour, M. et al. Int Urogynecol J (2008) 19: 1043. doi:10.1007/s00192-008-0666-z

Abstract

The aim of this study was to evaluate the long-term effectiveness and safety of the tension-free vaginal tape (TVT) procedure. In a Nordic three-center prospective observational cohort study, 90 women with primary stress incontinence had a TVT operation performed in local anesthesia. Assessment included a 24-h pad test, a stress test, physical examination, and a visual analog scale for assessing the degree of bother. Patient’s global impression of cure was obtained, and condition specific quality of life questionnaires were used. Seventy-seven percent of the initial cohort of 90 women and 89% of those alive and capable of cooperating were assessed 11.5 years after the TVT operation. Ninety percent of the women had both a negative stress test and a negative pad test being objectively cured. Subjective cure by patients global impression was found in 77 %, 20% being improved and only 3 % regarded the operation as a failure. No late-onset adverse effects of the operation were found, and no case of tape erosion was seen. The TVT procedure is safe and effective for more than 10 years.

Keywords

Long-term Stress incontinence TVT procedure 

Copyright information

© The International Urogynecological Association 2008

Authors and Affiliations

  • C. G. Nilsson
    • 1
  • K. Palva
    • 1
  • M. Rezapour
    • 2
  • C. Falconer
    • 3
  1. 1.Department of Obstetrics and GynecologyHelsinki University Central HospitalHelsinkiFinland
  2. 2.Uppsala University HospitalUppsalaSweden
  3. 3.Danderyd Hospital, Karolinska InstitutetStockholmSweden