Reasons for dissatisfaction ten years after TVT procedure.

Authors :: Aigmueller T
Bjelic-Radisic V
Kargl J
Hinterholzer S
Laky R
Trutnovsky G
Kolovetsiou-Kreiner V
Tamussino K
Source :: International urogynecology journal [Int Urogynecol J] 2014 Feb; Vol. 25 (2), pp. 213-7. Date of Electronic Publication: 2013 Sep 13.
Publication Year :: 2014
Abstract: Introduction and Hypothesis: The aim of the study was to assess the reasons for dissatisfaction 10 years after TVT placement.<br />Methods: Patients who underwent TVT surgery between 1999 and 2001 at two participating units were included. All patients who did not consider themselves to be cured were asked for their reasons.<br />Results: 141 out of 210 patients (81 %) were available for follow-up (median 116 months). In the group of 56 patients who did not consider themselves cured, the reasons were OAB symptoms in 29 patients (52 %), stress urinary incontinence in 13 patients (23 %), and complaints of mixed urinary incontinence in 8 patients (14 %). 85 % of all patients reporting urgency complaints at the time of follow-up and 66 % of patients with SUI at the time of follow-up did not consider themselves cured.<br />Conclusions: In most cases overactive bladder symptoms were the reason for dissatisfaction. The results of this study support using composite outcomes to assess the results of surgery for urinary incontinence.