Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
International Urogynecology Journal
Published in: International Urogynecology Journal 2/2005

01-04-2005 | Original Article

Tension-free vaginal tape: a prospective subjective and objective outcome analysis

Authors: Holly E. Richter, Andy M. Norman, Kathryn L. Burgio, Patricia S. Goode, Kate Clark Wright, Jodie Benton, R. Edward Varner

Published in: International Urogynecology Journal | Issue 2/2005

Login to get access

Abstract

The purpose of this prospective study was to describe the effects of the tension-free vaginal tape (TVT) procedure on subjective and objective outcomes. Eighty-seven women (aged 31–95 years) underwent a TVT procedure and were followed for up to 24 months using the Incontinence Impact Questionnaire (IIQ-7), Urogenital Distress Inventory (UDI-6), and a Patient Satisfaction Questionnaire. IIQ-7 scores improved from a mean 51.1 before surgery to 12.7 at 1 month (p<0.001) indicating reduced impact of incontinence on quality of life. UDI-6 scores declined from a mean 61.8 to 21.9 (p<0.001) indicating improvement in urinary symptoms. At 1 month, 91.2% of patients were satisfied. Improvements on all measures were maintained throughout follow-up. Urodynamic evaluation of 57 patients (mean: 15.0 months) showed that 91.2% had a negative stress test. Results indicate significant immediate and sustained improvement in incontinence impact and urinary symptoms, and a high rate of patient satisfaction and objective cure.
Literature
1.
Shull BL (1999) Pelvic organ prolapse: anterior, superior and posterior vaginal segment defects. Am J Obstet Gynecol 181:6–11PubMed
2.
Abrams P, Blaivas JG, Stanton SL et al (1988) The standardization of terminology of lower urinary tract function. The International Continence Society Committee on Standardization of Terminology. Scand J Urol Nephrol Suppl 114:5–19PubMed
3.
Nygaard I, Holcomb R (2000) Reproducibility of the seven-day voiding diary in women with stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 11:15–17PubMed
4.
Locher JL, Goode PS, Roth DL, Worrell RL, Burgio KL (2001) Reliability assessment of the bladder diary for urinary incontinence in older women. J Gerontol A Biol Sci Med Sci 56:M32–M35PubMed
5.
Uebersax JS, Wyman JF, Shumaker SA, McClish DK, Fantl JA, the Continence Program for Women Research Group (1995) Short forms to assess quality of life and symptom distress for urinary incontinence in women: the Incontinence Impact Questionnaire and the Urogenital Distress Inventory. Neurourol Urodyn 14:131–139PubMed
6.
Burgio KL, Locher JL, Goode PS, Harden JM, McDowell BJ, Dombrowski M (1998) Behavioral vs. drug treatment for urge urinary incontinence in older women. a randomized controlled trial. JAMA 280:1995–2000PubMed
7.
Burgio KL, Goode PS, Locher JL, Umlauf MG, Roth DL, Richter HE et al (2002) Behavioral training with and without biofeedback in the treatment of urge incontinence in older women: a randomized controlled trial. JAMA 288:2293–2299PubMed
8.
Vassallo BJ, Kleeman SD, Segal JL, Walsh P, Karram MM (2002) Tension-free vaginal tape: a quality of life assessment. Obstet Gynecol 100:518–524CrossRefPubMed
9.
Richter HE, Burgio KL, Holley RL, Goode PS, Locher JL, Wright KC, Varner RE (2003) Cadaveric fascia lata sling for stress urinary incontinence: a prospective quality of life analysis. Am J Obstet Gynecol 189:1590–1595PubMed
10.
Ulmstem U, Henriksson L, Johnson P et al (1996) An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence. Int Urogynecol J 7:81–85
11.
Moran PA, Ward KL, Johnson D, Smirni WE, Hilton P, Bibby J (2000) Tension-free vaginal tape for primary genuine stress incontinence: a two center follow-up study. BJU Int 86:39–42CrossRefPubMed
12.
Nilsson CG, Kuuva N, Falconer C, Rezapour M, Ulstem U (2001) Long-term results of the tension-free vaginal tape (TVT) procedures for surgical treatment of female stress urinary incontinence. Int Urogynecol J [Suppl 2]:S5–S8
13.
Liapis A, Bakas P, Creatsas G (2002) Burch colposuspension and tension-free vaginal tape in the management of stress urinary incontinence in women. Eur Urol 41:469–473PubMed
14.
Ward K, Hilton P (2002) Prospective multicentre randomized trial of tension-free vaginal tape and colposuspension as primary treatment for stress incontinence. Br Med J 325:67–72
15.
Kuuva N, Nilsson CG (2002) A nationwide analysis of complications associated with the tension-free vaginal tape (TVT) procedure. Acta Obstet Gynecol Scand 81:72–77CrossRefPubMed
16.
Pang MW, Chan LW, Yip SK (2003) One-year urodynamic outcome and quality of life in patients with concomitant tension-free vaginal tape during pelvic floor reconstruction surgery for genitourinary prolapse and urodynamic stress incontinence. Int Urogynecol J 14:256–260
17.
Partoll LM (2002) Efficacy of tension-free vaginal with other pelvic reconstructive surgery. Am J Obstet Gynecol 186:1292–1295PubMed
18.
Darai E, Jeffry L, Deval B, Birsan A, Kadoch O, Soriano D (2002) Results of tension-free vaginal tape in patients with or without vaginal hysterectomy. Eur J Obstet Gynecol Reprod Biol 103:163–167PubMed
19.
Rackley RR, Abdelmalak JB, Tchetgen MB et al (2001) Tension-free vaginal tape and percutaneous vaginal tape sling procedures. Tech Urol 7:90–100PubMed
Metadata
Title
Tension-free vaginal tape: a prospective subjective and objective outcome analysis
Authors
Holly E. Richter
Andy M. Norman
Kathryn L. Burgio
Patricia S. Goode
Kate Clark Wright
Jodie Benton
R. Edward Varner
Publication date
01-04-2005
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 2/2005
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-004-1238-5

Other articles of this Issue 2/2005

International Urogynecology Journal 2/2005 Go to the issue

Original Article

Prevalence, impact on the quality of life and pathophysiological determinants of nocturia in urinary incontinent women

Original Article

Comparison between porcine dermal implant (Permacol) and silicone injection (Macroplastique) for urodynamic stress incontinence

Case Report

Complications of synthetic graft materials used in suburethral sling procedures

Original Article

An ambispective observational study in the safety and efficacy of posterior colporrhaphy with composite Vicryl-Prolene mesh

Editorial

The tension-free vaginal tape operation: a Swedish connection and Taiwan experience

Erratum

An ambispective observational study in the safety and efficacy of posterior colporrhaphy with composite Vicryl-Prolene mesh