20.500.12556/RUL-182534 Long-term outcome of the retropubic TVT procedure for women with stress urinary incontinence 20–25-year follow-up Introduction: Stress urinary incontinence (SUI) significantly affects women’s quality of life. The tension-free vaginal tape (TVT) procedure has demonstrated short- and medium-term efficacy, but data beyond 15 years remain scarce. This study evaluates the 20- to 25-year outcomes of the retropubic TVT procedure in terms of efficacy, safety, and patient satisfaction. Methods: This retrospective cohort study included 135 women that underwent the retropubic TVT procedure between 1998 and 2003. All surgeries were performed by two surgeons using the Gynecare TVT™ Sling. Data were obtained from medical records, follow-ups, and telephone interviews (January–March 2024). Outcomes were assessed using the Patient Global Impression of Improvement (PGI-I), International Consultation on Incontinence Questionnaire–Urinary Incontinence Short Form (ICIQ-UI SF), and Urinary Distress Inventory–Short Form (UDI-6). Results: Out of 593 women originally treated, 135 completed long-term follow-up. The mean age at surgery was 50.3 years and 72.5 years at follow-up. The median PGI-I score of 2.0 indicated that 76.3 % of patients reported significant improvement. The median ICIQ-SF score was 7.0, reflecting moderate symptom burden, and the median UDI-6 score was 22.2, with 20 % of patients reporting significant urgency symptoms. Postoperative complications were low; 85.9 % of patients had no complications, 13.3 % experienced urinary retention, and 0.7 % had tape erosion. Repeat TVT was required in 9.6 % of cases, with significantly lower satisfaction (p = 0.002). PGI-I scores strongly correlated with ICIQ-SF (r = 0.801, p < 0.01) and UDI-6 (r = 0.676, p < 0.01). Conclusions: TVT remains an effective long-term SUI treatment with high satisfaction and low complications. Long-term follow-up is essential for monitoring late-onset complications. urinary incontinence stress urinary incontinence surgery TVT follow-up true false true Angleški jezik Ni določen Članek v reviji 2026-05-15 10:13:53 2026-05-15 10:14:00 2026-07-06 17:42:51 0000-00-00 00:00:00 2025 0 0 6 str. art. 114110 Vol. 312 2025 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 618.1 1872-7654 10.1016/j.ejogrb.2025.114110 238904067 1-s2.0-S0301211525003860-main.pdf 1-s2.0-S0301211525003860-main.pdf 1 C00285DA23AD6DC4C37659FF48A420A6 850e47f0eda82ea3fe6b01b9f95e01f044ebc63bbfa44038c4b5147d0284204f 11ba92e9-5036-11f1-b0ab-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=233888 https://www.sciencedirect.com/science/article/pii/S0301211525003860 0 df841f8f-5035-11f1-b0ab-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=233887 Medicinska fakulteta Pedagoška fakulteta 0 0 0