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

Nilsson, Carl-Gustaf; Palva, Kirsi; Aarnio, Riina; Morcos, Edward; Falconer, Christian

doi:10.1007/s00192-013-2090-2

Cited by 244 publications

(175 citation statements)

References 21 publications

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“…(10) Most studies report a cure rate of 90% with TVT and TVT-O. (14)(15)(16) In our study, a postoperative subjective cure rate of 90.8% and objective cure rate of 86.8% (data not presented) was observed at six months. The remaining patients had signifi cant improvement of their symptoms.…”

Section: Discussionmentioning

confidence: 46%

Tension-free vaginal tape-Abbrevo procedure for female stress urinary incontinence: a prospective analysis over 22 months

Kurien

Narang

Han

2017

smedj

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Section: Discussionmentioning

confidence: 46%

Tension-free vaginal tape-Abbrevo procedure for female stress urinary incontinence: a prospective analysis over 22 months

Kurien

Narang

Han

2017

smedj

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“…There were no late adverse effects. In a study by Nilsson et al [22] looking at 17-year follow-up, they report that 48 of 55 (87.2%) of the women regarded themselves cured or significantly better than before surgery. Objective cure, defined as a negative stress test, was seen in 42 of 46 women (91.3%).…”

Section: Retropubic Midurethral Slingsmentioning

confidence: 99%

Recent Developments in the Surgical Management of Urinary Stress Incontinence

Ahn

Alvarez

Dwyer

2013

Curr Obstet Gynecol Rep

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Surgical management continues to be the mainstay of treatment for patients with moderate to severe stress urinary incontinence who are nonresponsive to conservative measurements. In the past, the Burch colposuspension was considered the first line of treatment; however, since the introduction of mid-urethral slings in the mid 1990s the retropubic sling has become the "gold standard." Tension-free vaginal tape (TVT) is the original retropubic procedure with good long-term efficacy and safety data available. However, in an attempt to decrease the risk of retropubic complications, such as vascular, bowel, or bladder injury, the transobturator and single incision minislings have been described. In this review, we give an overview on the recent data available on conventional anti-incontinence procedures as well as other more recently developed procedures. Recent studies with more than 10 years of follow-up continue to confirm the effectiveness of the TVT sling in the long-term, which the other approaches need to match.

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“…Over 20 years ago it was suggested that mid-urethra played a pivotal role in achieving urinary continence. Suburethral retropubic tape TVT was then introduced and showed a high treatment efficacy with long lasting effects [5][6][7][8][9][10][11]. Introital pelvic floor sonography performed with a transvaginal probe (PFS-TV) showed to be useful in evaluating the implanted suburethral tapes.…”

Section: Introductionmentioning

confidence: 99%

Adjustable single incision sling Ajust — the effects of first operations controlled by pelvic floor sonography

Kluz¹,

Wlaźlak²,

Wróbel³

et al. 2017

Ginekol Pol

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Objective: The aim of this study is to evaluate using PFS-TV the mid-term results of our first operative experience with implanting a single incision sling -Ajust™. Material and methods:One and the same surgeon has operated all the patients with symptoms of stress urinary incontinence. Ajust was the only performed procedure. Postoperative evaluation consisted of: a standardized interview and examination, a cough test and a PFS-TV for evaluation of urinary continence and tape location. PFS-TV was performed under standardized conditions at rest and during maximum Valsalva maneuver.Results: This is a retrospective analysis of data from a total of 31 patients who attended a control visit between the 36 th and the 50 th month following the operation. Sixteen patients (51.6%) were cured. There were statistically significant differences in urethral mobility (p < 0.0007) and tape-urethra distance (p < 0.002) between cured and not-cured group. The difference in urethral length was not statistically significant. 77.8% of women with a hypermobile urethra was cured in contrast to 15.4% with a normobile urethra. Neither of the groups had a hypomobile urethra patient. There were no significant complications intra-or post-operatively. De novo urgency was observed in 1 patient only.Conclusions: Implantation of Ajust tape seems to be a safe mode of operative treatment for SUI in women. Our mid-term results suggest that long term effects might be worse compared to retropubic or transobturator tapes, especially at first operative experience with Ajust. Urethral mobility seems to be an important risk factor for treatment failure after Ajust implantation. It seems that patients that may benefit from Ajust most are women with urethral hypomobility but this needs to be verified with a prospective study.

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

Abstract: The TVT operation is durable for 17 years, with a high satisfaction rate and no serious long-term tape-induced adverse effects.

Cited by 244 publications

References 21 publications

Tension-free vaginal tape-Abbrevo procedure for female stress urinary incontinence: a prospective analysis over 22 months

Tension-free vaginal tape-Abbrevo procedure for female stress urinary incontinence: a prospective analysis over 22 months

Recent Developments in the Surgical Management of Urinary Stress Incontinence

Adjustable single incision sling Ajust — the effects of first operations controlled by pelvic floor sonography

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