Abstract
3/2017
vol. 19
Original paper
Long-term effectiveness of Tension-Free Vaginal Tape (TVT) procedure – twelve years after surgery
- The 2nd Department of Obstetrics and Gynaecology, Medical University of Warsaw, Poland
- Department of Obstetrics and Gynaecology, Didactics Medical University of Warsaw, Poland
Family Medicine & Primary Care Review 2017; 19(3): 196–200
Online publish date: 2017/09/22
Background. Urinary incontinence is defined as any involuntary loss of urine. The TVT (Tension-Free Vaginal Tape) operation is a treatment for stress urinary incontinence introduced in Poland in the year 2000. There are few studies evaluating the long-term
effectiveness of TVT in Polish women.
Objectives. To evaluate the long-term effectiveness of TVT in the treatment of stress urinary incontinence in women.
Material and methods. 40 women operated on in the period 1999–2004 were recalled 12.6 ± 1.2 years after TVT for a follow-up study. 85 vs 15% of women were operated on due to primary vs recurrent stress incontinence, respectively. 20 vs 80% of the patients had
mixed vs pure stress urinary incontinence, respectively. The effectiveness of TVT operations was assessed objectively on the basis of a cough test, and subjectively on improvement after treatment according to the patientsʼ answers (yes/no), PGI -I, PS Q and VAS („0“
was the total absence of improvement after surgery, „100“ – total improvement).
Results. The cough test was negative in 85% of cases. Subjectively, 85% of women declared improvement after TVT. Based on PGI -I – 77.5% of them maintained improvement after surgery. Based on PS Q – 70% of the women assessed control of urinary incontinence
after surgery as better, 72.5% were satisfied with the results of the operation, and 77.5% of them would recommend TVT to other women. Based on VAS , total improvement was noted by 12.5% of women, 60% of women rated improvement “50–99”, and total lack of improvement was noted by 20% of the women.
Conclusions. TVT seems to be an effective form of treatment for urinary incontinence in women 12 years after surgery.
effectiveness of TVT in Polish women.
Objectives. To evaluate the long-term effectiveness of TVT in the treatment of stress urinary incontinence in women.
Material and methods. 40 women operated on in the period 1999–2004 were recalled 12.6 ± 1.2 years after TVT for a follow-up study. 85 vs 15% of women were operated on due to primary vs recurrent stress incontinence, respectively. 20 vs 80% of the patients had
mixed vs pure stress urinary incontinence, respectively. The effectiveness of TVT operations was assessed objectively on the basis of a cough test, and subjectively on improvement after treatment according to the patientsʼ answers (yes/no), PGI -I, PS Q and VAS („0“
was the total absence of improvement after surgery, „100“ – total improvement).
Results. The cough test was negative in 85% of cases. Subjectively, 85% of women declared improvement after TVT. Based on PGI -I – 77.5% of them maintained improvement after surgery. Based on PS Q – 70% of the women assessed control of urinary incontinence
after surgery as better, 72.5% were satisfied with the results of the operation, and 77.5% of them would recommend TVT to other women. Based on VAS , total improvement was noted by 12.5% of women, 60% of women rated improvement “50–99”, and total lack of improvement was noted by 20% of the women.
Conclusions. TVT seems to be an effective form of treatment for urinary incontinence in women 12 years after surgery.
Keywords
urinary incontinence, mid-urethral sling, TVT, effectiveness
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