Department of Obstetrics and Gynecology, University of Ulm, Ulm, Germany.
Urology. 2011 Oct;78(4):774-7. doi: 10.1016/j.urology.2011.06.009. Epub 2011 Aug 5.
To evaluate long-term effectiveness and late complications after treatment of female stress urinary incontinence with tension-free vaginal tape (TVT).
We performed a prospective observational study. Follow-up examinations included a standardized questionnaire, medical history, voiding diary, gynecologic examination with cough test, and introital ultrasound.
One-hundred-eight women (68.8%) from the initial cohort of 157 patients and 79.6% of those alive and able to cooperate were assessed. The median follow-up time was 102 months (range 85-124). The objective cure rate was 89.8%. The subjective cure rate was 82.4%, 13% had improved, 2.8% regarded the continence situation as unchanged, and 1.8% had an impaired stress urinary incontinence. No late-onset adverse effects of the surgery were found. Urge incontinence was the main reason for dissatisfaction with the surgery (in 90% of discontent patients).
Our data showed good results more than 7 years after TVT, demonstrating a high level of long-lasting efficacy for this minimally invasive incontinence procedure.
评估经阴道无张力吊带（TVT）治疗女性压力性尿失禁的长期疗效和晚期并发症。
我们进行了一项前瞻性观察性研究。随访检查包括标准化问卷、病史、排尿日记、咳嗽试验下的妇科检查和阴道入口超声检查。
在最初的 157 例患者队列中，有 108 例（68.8%）女性和 79.6%的存活且能够合作的患者接受了评估。中位随访时间为 102 个月（范围 85-124）。客观治愈率为 89.8%。主观治愈率为 82.4%，13%有所改善，2.8%认为控尿情况不变，1.8%出现压力性尿失禁恶化。未发现手术的迟发性不良影响。急迫性尿失禁是对手术不满意的主要原因（在 90%的不满意患者中）。
我们的数据显示 TVT 治疗后 7 年以上效果良好，证明这种微创性失禁手术具有较高的长期疗效。
