Long-term outcome of the retropubic TVT procedure for women with stress urinary incontinence : 20–25-year follow-up

Lebar, Vojka (avtor), Lukanovič, Adolf (avtor), Matjašič, Miha (avtor), Barbič, Matija (avtor), Lukanović, David (avtor)

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.

• Jezik: Angleški jezik
• Ključne besede: urinary incontinence, stress urinary incontinence, surgery, TVT, follow-up
• Vrsta gradiva: Članek v reviji
• Tipologija: 1.01 - Izvirni znanstveni članek
• Organizacija: MF - Medicinska fakulteta ; PEF - Pedagoška fakulteta
• Status publikacije: Objavljeno
• Različica publikacije: Objavljena publikacija
• Leto izida: 2025
• Št. strani: 6 str.
• Številčenje: Vol. 312, art. 114110
• PID: 20.500.12556/RUL-182534
• UDK: 618.1
• ISSN pri članku: 1872-7654
• DOI: 10.1016/j.ejogrb.2025.114110
• COBISS.SI-ID: 238904067
• Datum objave v RUL: 15.05.2026

Gradivo je del revije

• Naslov: European journal of obstetrics & gynecology and reproductive biology
• Založnik: Elsevier
• ISSN: 1872-7654
• COBISS.SI-ID: 23400453

Licence

• Licenca: CC BY 4.0, Creative Commons Priznanje avtorstva 4.0 Mednarodna
• Povezava: http://creativecommons.org/licenses/by/4.0/deed.sl
• Opis: To je standardna licenca Creative Commons, ki daje uporabnikom največ možnosti za nadaljnjo uporabo dela, pri čemer morajo navesti avtorja.