Long-term durability, functional outcomes, and factors associated with surgical failure of tension-free vaginal tape procedure

Abstract

TVT is an effective long-term treatment for SUI, although the cure rate may decrease with time. A low VLPP was predictive of SUI recurrence, and patients showing no OAB symptoms tended to be younger.

10 years follow‐up after mid‐urethral sling implantation: high rate of cure yet a re‐occurrence of OAB‐symptoms

“…In Serati's series, the percentage of women with de novo urgency was also slightly higher (18.9% at 10 years), although women in these series were substantially younger and women with mixed UI were excluded . In Han's series with a follow‐up of 12 years, a de novo urgency and urge UI developed in 40.5% and 17.2% of the patients, respectively . Svenningsen et al reported on a 10 years de novo urge incontinence rate of 14.9% .…”

“…Han et al reported on 88 patients who were followed for at least 12 years (a potential bias of this cohort is that only women who were cured after 6 months were followed long‐term). The cure rate at 12 years was 79.6% . Svenningsen et al reported on the 10 years outcome of 483 patients treated in four Norwegian centres.…”

“…Few cohort studies have addressed the long‐term outcome (follow‐up >10 years) of mid‐urethral slings . A direct comparison of these studies is problematic because of different study cohorts and—most importantly—different questionnaires and definitions of success.…”

“…Although mid‐urethral slings were introduced in the mid 1990's and are widely used, there is a relative paucity of large‐scale cohort‐studies with long‐term outcomes. In fact, only few studies have assessed the long‐term outcome, that is, with a follow‐up of 10 years or longer . The age women typically undergo this procedure is between 50 and 65 years.…”

Medium-term and long-term outcomes following placement of midurethral slings for stress urinary incontinence: a systematic review and metaanalysis

“…Among the non-RCT studies, SUI was clinically diagnosed in eight (no urodynamic studies performed) [26,34,36,41,48,51,53,60] and a blinded assessment was performed in only three [40,50,51] (Figure in Electronic supplementary material). Outcome was assessed as a composite measure of cure (objective and subjective definition of cure met) [20,24,30,31,35,59], subjective [14,19,21,26,34,36,38,39,42,44,48], objective outcome [15,16,22,50] or both [17, 18, 23, 25, 27-29, 32, 33, 37, 40, 41, 43, 45-47, 49, 51-58, 60-62]. The follow-up was described in each study with a minimum of 36 months and a maximum of 17 years.…”