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Result of the tension-free vaginal tape in patients with concomitant prolapse surgery: a 2-year follow-up study. An analysis from the Netherlands TVT database

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Abstract

This study assessed the long-term outcome of tension-free vaginal tape (TVT) in women with concomitant pelvic surgery. A prospective cohort study of 746 patients in 41 hospitals was undertaken. The Incontinence Impact Questionnaire (IIQ-7) and Urogenital Distress Inventory (UDI-6) were used to measure the results of the TVT. Fifty-nine patients with concomitant prolapse surgery were compared with 687 women with TVT only. The decrease in IIQ/UDI mean scores were statistically significant in both groups after the TVT. The success rates of “no leakage at all” is comparable for both groups. This study, with 54 gynecologists and urologists participating, showed the long-term (2 years) success rates of TVT with concomitant prolapse surgery. It shows that the procedure in conjunction with prolapse surgery can be safely performed with good results.

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Acknowledgments

We thank all patients, secretarial, nursing, and medical staff of the participating hospitals and the following gynecologists and urologists for their cooperation: LWAR Berger, MGM Bergmans, S de Blok, PF Boekkooi, SD Bos, RSGM Bots, GM Bouw, HAM Brölmann, M de Bruin, FPHLJ Dijkhuizen, CA Fiedeldey, S Friese, JM van Geelen, DA Gietelink, J de Graaff, JF ter Haar, E Hallensleben, JW Hoekstra, CJA Hogewoning, JWM Hutten, W IJzerman, MM IJand, PHNM Kampschoer, C Kerckhoffs, MHHM Kerkhof, PH van Kessel, PJM Kil, JH Kleinjan, H Kragt, MVAM Kroeks, D de Lange, IL Lie, AHP Meier, WFA Mensink, GJ Montagne, AFP Mulder, SH Oerlemans, R Pal, AAF Plancken, NTCM de Pree, F Reijnders, RJCI Sassen, J Scheepers, JA Schrickx, JJM Schroeder, NPL Venema, ME Vierhout, NPJ Vreuls, JJ de Vries, PHS Wassenberg, LCG Wetzels, AFGVM Ypma, AF Zürcher. Financial funding was provided by an unrestricted grant from the Foundation for Scientific Research of the Gynecology Associates Tilburg.

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Authors and Affiliations

  1. Department of Gynecology and Obstetrics, Meander Medical Center, Ringweg Randenbroek 110, 3816 CP, Amersfoort, The Netherlands

    Steven E. Schraffordt Koops

  2. Department of Gynecology and Obstetrics, St. Elisabeth Hospital, Tilburg, The Netherlands

    Tanya M. Bisseling & Harry A. M. Vervest

  3. Julius Center of Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands

    H. Jorien van Brummen

  4. Department of Gynecology, University Medical Center Utrecht, Utrecht, The Netherlands

    A. Peter M. Heintz

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  1. Steven E. Schraffordt Koops
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  2. Tanya M. Bisseling
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  3. H. Jorien van Brummen
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  4. A. Peter M. Heintz
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  5. Harry A. M. Vervest
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Correspondence to Steven E. Schraffordt Koops.

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Schraffordt Koops, S.E., Bisseling, T.M., van Brummen, H.J. et al. Result of the tension-free vaginal tape in patients with concomitant prolapse surgery: a 2-year follow-up study. An analysis from the Netherlands TVT database. Int Urogynecol J 18, 437–442 (2007). https://doi.org/10.1007/s00192-006-0170-2

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  • DOI: https://doi.org/10.1007/s00192-006-0170-2

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