Skip to main content

Advertisement

SpringerLink
Log in

Quality of life assessments in women operated on by tension-free vaginal tape (TVT)

  • Original Article
  • Published:
International Urogynecology Journal Aims and scope Submit manuscript

Abstract

The aim of the study was to evaluate quality of life (QOL) prospectively in women who undergo tension-free vaginal tape (TVT) operation for stress urinary incontinence. Sixty-six women who completed QOL questionnaires and a 2-year follow-up examination were included. Improvement of health-related QOL was assessed by the Incontinence Impact Questionnaire-7 (IIQ-7), the Urogenital Distress Inventory-6 (UDI-6), and two questions regarding patient satisfaction and de novo urge incontinence. Prior to surgery, patients complained most of stress symptoms followed by physical activities and emotional health. Postoperatively IIQ-7 and UDI-6 as a whole and all seven domains improved significantly (p<0.001). Scores of IIQ-7, UDI-6, and seven domains did not differ between the adult and the elderly groups. Of the patients 88% were much satisfied or satisfied with surgical outcomes. Incidence of de novo urge incontinence was 12%. It is concluded that the TVT procedure significantly improved health-related quality of life.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Burgio KL, Matthews KA, Engel BT (1991) Prevalence, incidence and correlates of urinary incontinence in healthy, middle-aged women. J Urol 146:1255–1259

    CAS  PubMed  Google Scholar 

  2. Shuk-Yee Ma S (1997) The prevalence of adult female urinary incontinence in Hong Kong Chinese. Int Urogynecol J 8:327–331

    Google Scholar 

  3. Kondo A, Saito M, Yamada Y, Kato T, Hasegawa S, Kato K (1992) Prevalence of hand-washing urinary incontinence in healthy subjects in relation to stress and urge incontinence. Neurourol Urodyn 11:519–523

    Google Scholar 

  4. Black NA, Downs SH (1996) The effectiveness of surgery for stress incontinence in women: a systematic review. Br J Urol 78:497–510

    Article  CAS  PubMed  Google Scholar 

  5. Leach GE, Dmochowski RR, Appell RA et al (1997) Female stress urinary incontinence clinical guidelines panel summary report on surgical management of female stress urinary incontinence. J Urol 158:875–880

    Article  CAS  PubMed  Google Scholar 

  6. Ulmsten U, Petros P (1995) Intravaginal slingplasty (IVS): an ambulatory surgical procedure for treatment of female urinary incontinence. Scand J Urol Nephrol 29:75–82

    Google Scholar 

  7. Nilsson CG, Kuuva N, Falconer C, Rezapour M, Ulmsten U (2001) Long-term results of the tension-free vaginal tape (TVT) procedure for surgical treatment of female stress urinary incontinence. Int Urogynecol J 12 [Suppl 2]:S5-S8

  8. Sirls LT, Keoleian CM, Korman HJ, Kirkemo AK (1995) The effect of study methodology on reported success rates of the modified Pereyra bladder neck suspension. J Urol 154:1732–1735

    Article  CAS  PubMed  Google Scholar 

  9. Trockman BA, Leach GE, Hamilton J, Sakamoto M, Santiago L, Zimmern PE (1995) Modified Pereyra bladder neck suspension: 10-year mean followup using outcomes analysis in 125 patients. J Urol 154:1841–1847

    Article  CAS  PubMed  Google Scholar 

  10. Deval B, Jeffry L, Najjar FA, Soriano D, Darai E (2002) Determinants of patient dissatisfaction after a tension-free vaginal tape procedure for urinary incontinence. J Urol 167:2093–2097

    Google Scholar 

  11. Vassallo BJ, Kleeman SD, Segal JL, Walsh P, Karram MM (2002) Tension-free vaginal tape: a quality-of-life assessment. Obstet Gynecol 100:518–524

    Article  PubMed  Google Scholar 

  12. Ward K, Hilton P on behalf of the United Kingdom and Ireland Tension-free Vaginal Tape Trial Group (2002) Prospective multicentre randomised trial of tension-free vaginal tape and colposuspension as primary treatment for stress incontinence. BMJ 325:67–70

    Article  PubMed  Google Scholar 

  13. Ulmsten U, Henriksson L, Johnson P, Varhos G (1996) An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence. Int Urogynecol J 7:81–86

    CAS  Google Scholar 

  14. Uebersax JS, Wyman JF, Shumaker SA, McClish DK, Fantl JA and the Continence Program for Women Research Group (1995) Short forms to assess life quality and symptom distress for urinary incontinence in women: the incontinence impact questionnaire and the urogenital distress inventory. Neurourol Urodyn 14:131–139

    CAS  PubMed  Google Scholar 

  15. Shumaker SA, Wyman JF, Uebersax JS, McClish D, Fantl JA (1994) Health-related quality of life measures for women with urinary incontinence: the incontinence impact questionnaire and the urological distress inventory. Qual Life Res 3:291–306

    CAS  PubMed  Google Scholar 

  16. Milsom L, Abrams P, Cardozo L, Roberts RG, Thueroff J, Wein AL (2001) How widespread are the symptoms of an overactive bladder and how are they managed? A population-based prevalence study. BJU Int 87:760–766

    Article  CAS  PubMed  Google Scholar 

  17. Moran PA, Ward KL, Johnson D, Smirni WE, Hilton P, Bibby J (2000) Tension-free vaginal tape for primary genuine stress incontinence: a two-centre follow-up study. BJU Int 86:39–42

    Article  CAS  PubMed  Google Scholar 

  18. Arunkalaivanan AS, Barrington JW (2003) Randomized trial of porcine dermal sling (PelvicolTM implant) vs. tension-free vaginal tape (TVT) in the surgical treatment of stress incontinence: a questionnaire-based study. Int Urogynecol J 14:17–23

    Article  CAS  Google Scholar 

  19. Azam U, Frazer MI, Kozman EL, Ward K, Hilton P, Rane A (2001) The tension-free vaginal tape procedure in women with previous stress incontinence surgery. J Urol 166:554–556

    Article  CAS  PubMed  Google Scholar 

  20. Carr LK, Walsh PJ, Abraham VE, Webster GD (1997) Favorable outcome of pubovaginal slings for geriatric women with stress incontinence. J Urol 157:125–128

    Article  CAS  PubMed  Google Scholar 

  21. Zaragoza MR (1996) Expanded indications for the pubovaginal sling: treatment of type 2 or 3 stress incontinence. J Urol 156:1620–1622

    Article  CAS  PubMed  Google Scholar 

  22. Handa VL, Jensen JK, Germain MM, Ostergard DR (1996) Banked human fascia lata for the suburethral sling procedure: a preliminary report. Obstet Gynecol 88:1045–1049

    Article  CAS  PubMed  Google Scholar 

  23. Jenkinson C, Coulter A, Wright L (1993) Short form 36 (SF36) health survey questionnaire: normative data for adults of working age. BMJ 306:1437–1440

    CAS  PubMed  Google Scholar 

  24. Ulmsten U, Johnson P, Rezapour M (1999). A three-year follow up of tension free vaginal tape for surgical treatment of female urinary incontinence. Br J Obstet Gynaecol 106:345–350

    CAS  PubMed  Google Scholar 

  25. Olsson I, Kroon U-B (1999) A three-year postoperative evaluation of tension-free vaginal tape. Gynecol Obstet Invest 48:267–269

    Article  CAS  PubMed  Google Scholar 

  26. Nilsson CGN, Rezapour M, Falconer C (2003) Seven year follow-up of the tension-free vaginal tape (TVT) procedure. Int Urogynecol J 14 [Suppl 1]:S35

Download references

Author information

Authors and Affiliations

  1. Department of Urology, Tokyo Women’s Medical University Daini Hospital, Nishiogu 2-1-10, 116-8567, Arakawa-ku, Tokyo , Japan

    Hikaru Tomoe

  2. Department of Urology, Komaki Shimin Hospital, Joubushi 1-20, 485-8520, Komaki City, Japan

    Atsuo Kondo

  3. Department of Urology, Hara-Sanshin Hospital, Taihaku-cho 1-8, 812-0033, Hakata-ku, Hakata City, Fukuoka, Japan

    Mineo Takei

  4. Department of Obstetrics and Gynecology, Mitsui Memorial Hospital, Kandaizumi-cho 1, 101-8643, Chiyoda-ku, Tokyo, Japan

    Maki Nakata

  5. Department of Urology, Tokyo Women’s Medical University, Kawada-cho 8-1, 162-8666, Shinjuku-ku, Tokyo, Japan

    Hiroshi Toma

Authors
  1. Hikaru Tomoe
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Atsuo Kondo
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Mineo Takei
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Maki Nakata
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Hiroshi Toma
    View author publications

    You can also search for this author in PubMed Google Scholar

Consortia

Tension-free Vaginal Tape Trial Group

Corresponding author

Correspondence to Hikaru Tomoe.

Additional information

The authors listed above wrote this contribution on behalf of the Tension-free Vaginal Tape Trial Group

Editorial Comment: This study adds to the body of literature on the efficacy of the TVT procedure. Using quality of life instruments 88% of the patients were much satisfied or satisfied with surgical outcomes. Incidence of de novo urge incontinence was 12%. The biggest deficiency of the study was that follow-up was only available on 66 of 161 women

Rights and permissions

Reprints and permissions

About this article

Cite this article

Tomoe, H., Kondo, A., Takei, M. et al. Quality of life assessments in women operated on by tension-free vaginal tape (TVT). Int Urogynecol J 16, 114–118 (2005). https://doi.org/10.1007/s00192-004-1231-z

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00192-004-1231-z

Keywords

Search

Navigation