Ten-year follow-up after the tension-free vaginal tape procedure


      The current study aimed to evaluate objective and subjective results 10 years after the tension-free vaginal tape procedure.

      Study Design

      Two hundred ten patients who underwent a tension-free vaginal tape procedure at the 2 participating units between 1999 and 2001 were invited for follow-up. Evaluation at 10 years included history, clinical examination, cystoscopy, urodynamics, a cough stress test, and the Incontinence Outcome Questionnaire.


      Interview data were available for 67%; full clinical investigation was performed in 56% of patients. At 10 years, the clinical stress test was negative in 84%, slightly positive in 8.5%, and strongly positive in 4.3%. Subjectively, 57% of patients considered themselves “cured,” 23% “improved,” 6.4% “unchanged,” and 11% “worse.” Eleven of 141 (7.8%) had been reoperated in the interim. The rate of de novo urgency was 20%. Obesity seemed to be a risk factor for failure.


      These data indicate satisfactory objective and subjective cure rates 10 years after tension-free vaginal tape procedure placement.

      Key words

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        • Hannestad Y.S.
        • Rortveit G.
        • Sandvik H.
        • Hunskaar S.
        A community-based epidemiological survey of female urinary incontinence: the Norwegian EPINCONT study.
        J Clin Epidemiol. 2000; 53: 1150-1157
        • Nygaard I.
        • Barber M.D.
        • Burgio K.L.
        • et al.
        Prevalence of symptomatic pelvic floor disorders in US women.
        JAMA. 2008; 17: 1311-1316
        • Ulmsten U.
        • Henriksson L.
        • Johnson P.
        • Varhos G.
        An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence.
        Int Urogynecol J Pelvic Floor Dysfunct. 1996; 7: 81-85
        • Ward K.L.
        • Hilton P.
        A prospective multicenter randomized trial of tension-free vaginal tape and colposuspension for primary urodynamic stress incontinence: two-year follow-up.
        Am J Obstet Gynecol. 2004; 190: 324-331
        • Kjølhede P.
        Long-term efficacy of Burch colposuspension: a 14-year follow-up study.
        Acta Obstet Gynecol Scand. 2005; 84: 767-772
        • Barr S.
        • Reid F.M.
        • North C.E.
        • Hosker G.
        • Smith A.R.
        The long-term outcome of laparoscopic colposuspension: a 10-year cohort study.
        Int Urogynecol J. 2009; 20: 443-445
      1. FDA Public Health Notification: serious complications associated with transvaginal placement of surgical mesh in repair of pelvic organ prolapse and stress urinary incontinence.
        (Accessed Oct. 20, 2008)
        • Bjelic-Radisic V.
        • Dorfer M.
        • Tamussino K.
        • et al.
        The Incontinence Outcome Questionnaire: an instrument for assessing patient-reported outcomes after surgery for stress urinary incontinence.
        Int Urogynecol J Pelvic Floor Dysfunct. 2007; 18: 1139-1149
        • Tamussino K.
        • Hanzal E.
        • Kölle D.
        • Ralph G.
        • Riss P.A.
        The tension-free vaginal tape operation: results of the Austrian registry.
        Obstet Gynecol. 2001; 98: 732-736
        • Kölle D.
        • Tamussino K.
        • Hanzal E.
        • et al.
        Bleeding complications with the tension-free vaginal tape operation.
        Am J Obstet Gynecol. 2005; 193: 2045-2049
        • Hilton P.
        Long-term follow-up studies in pelvic floor dysfunction: the Holy Grail or a realistic aim?.
        BJOG. 2008; 115: 135-143
        • Alcalay M.
        • Monga A.
        • Stanton S.L.
        Burch colposuspension: a 10-20 year follow-up.
        BJOG. 1995; 102: 740-745
        • Moser F.
        • Bjelic-Radisic V.
        • Tamussino K.
        Needle suspension of the bladder neck for stress urinary incontinence: objective results at 11 years.
        Int Urogynecol J. 2006; 17 (611-1)
        • Olsson I.
        • Abrahamsson A.K.
        • Kroon U.B.
        Long-term efficacy of the tension-free vaginal tape procedure for the treatment of urinary incontinence: a retrospective follow-up 11.5 years post-operatively.
        Int Urogynecol J. 2010; 21: 679-683
        • Nilsson C.G.
        • Palva K.
        • Rezapour M.
        • Falconer C.
        Eleven years prospective follow-up of the tension-free vaginal tape procedure for treatment of stress urinary incontinence.
        Int Urogynecol J. 2008; 19: 1043-1047
        • Groutz A.
        • Gold R.
        • Pauzner D.
        • Lessing J.B.
        • Gordon D.
        Tension-free vaginal tape (TVT) for the treatment of occult stress urinary incontinence in women undergoing prolapse repair: a prospective study of 100 consecutive cases.
        Neurourol Urodyn. 2004; 23: 632-635
        • Borstad E.
        • Abdelnoor M.
        • Staff A.C.
        • Kulseng-Hanssen S.
        Surgical strategies for women with pelvic organ prolapse and urinary stress incontinence.
        Int Urogynecol J. 2010; 21: 179-186
        • Schierlitz L.
        • Dwyer P.L.
        • Rosamilia A.
        Effectiveness of tension-free vaginal tape compared with transobturator tape in women with stress urinary incontinence and intrinsic sphincter deficiency: a randomized controlled trial.
        Obstet Gynecol. 2008; 112: 1253-1261
        • Hellberg D.
        • Holmgren C.
        • Lanner L.
        • Nilsson S.
        The very obese woman and the very old woman: tension-free vaginal tape for the treatment of stress urinary incontinence.
        Int Urogynecol J. 2007; 18: 423-429
        • Rechberger T.
        • Futyma K.
        • Jankiewicz K.
        • Adamiak A.
        • Bogusiewicz M.
        • Skorupski P.
        Body mass index does not influence the outcome of anti-incontinence surgery among women whereas menopausal status and ageing do: a randomised trial.
        Int Urogynecol J. 2010; 21: 801-806
        • Zivkovic F.
        • Tamussino K.
        • Pieber D.
        • Haas J.
        Body mass index and outcome of incontinence surgery.
        Obstet Gynecol. 1999; 93: 753-756
        • Liapis A.
        • Bakas P.
        • Creatsas G.
        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.
        Int Urogynecol J Pelvic Floor Dysfunct. 2008; 19: 1509-1512