Int Urogynecol J Pelvic Floor Dysfunct. 2008 Nov;19(11):1509-12.
Long-term efficacy of tension-free vaginal tape in the management of stress
urinary incontinence in women: efficacy at 5- and 7-year follow-up.
Liapis A, Bakas P, Creatsas G.
2nd Department of Obstetrics and Gynecology, Aretaieio Hospital, University of Athens, N. Paritsi 9A, N. Psichiko, 15451, Athens, Greece, p_bakas@yahoo.com.
The objective of the study was to obtain a prospective assessment of the efficacy and the complications associated with the use of tension-free vaginal tape (TVT) for the management of urodynamic stress incontinence at 5- and 7-year follow-up. Sixty-five female patients with stage I cystocele or less who have been operated with TVT procedure for management of urodynamic stress incontinence have been included in the study. At 5-year follow-up, the objective cure rate was 83% and failure rate 9.4%. At 7-year follow-up, the objective cure rate was 80% and the failure rate 13.5%. De novo detrusor overactivity was seen in 9.4% and 11.4% of patients at 5- and 7-year follow-up, respectively. TVT operation is an effective and safe minimally invasive procedure for the management of urodynamic stress incontinence in women without significant cystocele in the long-term follow-up. The 10- and 20-year results are awaited.
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- 3 How prevalent is cystitis?
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- 6 How prevalent are Frequency and nocturia?
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- 20 Are there any alternatives to bladder training for urgency symptoms?
- 21 If simple measures do not suffice, what else is available for the treatment of urinary stress incontinence?
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