Presentation Authors: Hyeon Woo Kim*, Dong Gil Shin, Chul Soo Yoon, Seong Choi, Won Yeol Cho, Kweon Sik Min, Busan, Korea, Republic of, Tae Hee Oh, Changwon, Korea, Republic of, Wan Lee, Ulsan, Korea, Republic of, Jeong Zoo Lee, Busan, Korea, Republic of
Introduction: The present study was aimed to evaluate the surgical outcomes at 17 years after the Tension-free Vaginal Tape (TVT) surgery which was performed to manage females with stress urinary incontinence (SUI).
Methods: Among 110 women with SUI who underwent the TVT procedure between March 1999 and December 2000, 51 patients were followed up for at least 17 years postoperatively. Preoperative evaluation of the patients was performed with history taking, physical examinations, one-hour pad tests, urine analysis, urine cultures and complete multichannel urodynamic studies. Long-term evaluations were performed via questionnaires on the durability of the surgical outcome and the patients' satisfaction with the procedure. All the patients were asked about their voiding symptoms as well as any recurrence by conducting detailed telephone interviews.
Results: The mean follow-up period was 207.62 Â± 8.46 months. Of the 51 patients who were followed up for at least 17 years, the patients were classified according to their symptom grades; grade I (n=13, 25.49%), grade II (n=28, 54.90%) and grade III (n=10, 19.61%). The TVT procedure remained successful in 42 patients (82.35%): SUI was remained cured in 28 patients (54.90%) and improved in 14 patients (27.45%) while recurred incontinence was observed in 9 patients (17.65%). According to the telephone interviews, 26 patients (50.98%) were very satisfied and 16 patients (31.37%) were satisfied with the TVT procedure. However, 6 (11.76%) and 3 (5.88%) patients answered 'tolerable' and 'dissatisfied', respectively, and all of these patients had recurred SUI. Among the investigated patients, no serious or long-term complications related to the procedure were observed.
Conclusions: The TVT surgery is an effective treatment for stress urinary incontinence, with long-term durability of continence and minimal complications related to the surgery.