Show simple item record

dc.contributor.authorHoldø, Bjørn
dc.contributor.authorVerelst, Margareta
dc.contributor.authorSvenningsen, Rune
dc.contributor.authorMilsom, Ian
dc.contributor.authorSkjeldestad, Finn Egil
dc.date.accessioned2020-01-17T12:58:25Z
dc.date.available2020-01-17T12:58:25Z
dc.date.issued2019-02-14
dc.description.abstract<i>Introduction</i> - The retropubic tension‐free vaginal tape has been the preferred method for primary surgical treatment of stress urinary incontinence and stress‐dominated mixed urinary incontinence in women for more than 20 years. This study presents long‐term safety and efficacy data and assesses risk factors for long‐term recurrence.<p> <p><i>Material and methods</i> - In a case‐series design we assessed a historical cohort of primary surgeries performed with the tension‐free vaginal tape procedure in 596 women from 1998 to 2012 with follow up through 2015. Information from the medical records was transferred to a case report form comprising data on early and late complications and recurrence of urinary incontinence defined as bothersome stress urinary incontinence symptoms. All analyses were performed with SPSS using Pearson chi‐square, survival and Cox regression analyses.<p> <p><i>Results</i> - After a 10‐year follow up, mixed urinary incontinent women (hazard ratio 2.1, 95% confidence interval [CI] 1.4‐3.0) had a significantly increased risk of recurrence of stress urinary incontinence symptoms compared with women with pure stress urinary incontinence as the indication for surgery. Overall cumulative cure rates after 1, 5 and 10 years were 92% (95% CI; 90%‐94%), 79% (95% CI; 75%‐83%) and 69% (95% CI; 63%‐75%), respectively. Recurrent surgery (0.3%) and serious tape complications needing major surgical treatment (0.3%) were rare. Six patients (1.0%) had the tape cut due to urinary retention, and nine patients (1.5%) reported urinary retention more than 3 months after surgery.<p> <p><i>Conclusions</i> The tension‐free vaginal tape procedure has a high long‐term durability. Mixed urinary incontinence as an indication for surgery predicted long‐term recurrence. Long‐term complications were rare.en_US
dc.descriptionThis is the peer reviewed version of the following article: Holdø, B., Verelst, M., Svenningsen, R., Milsom, I. & Skjeldestad, F. (2019). The retropubic tension‐free vaginal tape procedure - Efficacy, risk factors for recurrence and long‐term safety. <i>Acta Obstetricia et Gynecologica Scandinavica, 98</i>(6), 722-728. , which has been published in final form at <a href=https://doi.org/10.1111/aogs.13535> https://doi.org/10.1111/aogs.13535 </a> . This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.en_US
dc.identifier.citationHoldø B, Verelst M, Svenningsen R, Milsom I, Skjeldestad FE. The retropubic tension-free vaginal tape procedure—Efficacy, risk factors for recurrence and long-term safety. Acta Obstetricia et Gynecologica Scandinavica. 2019;98(6):722-728en_US
dc.identifier.cristinIDFRIDAID 1704326
dc.identifier.doi10.1111/aogs.13535
dc.identifier.issn0001-6349
dc.identifier.issn1600-0412
dc.identifier.urihttps://hdl.handle.net/10037/17131
dc.language.isoengen_US
dc.publisherWileyen_US
dc.relation.journalActa Obstetricia et Gynecologica Scandinavica
dc.rights.accessRightsopenAccessen_US
dc.rights.holder© 2019 Nordic Federation of Societies of Obstetrics and Gynecologyen_US
dc.subjectVDP::Medical disciplines: 700en_US
dc.subjectVDP::Medisinske Fag: 700en_US
dc.titleThe retropubic tension-free vaginal tape procedure—Efficacy, risk factors for recurrence and long-term safetyen_US
dc.type.versionacceptedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


File(s) in this item

Thumbnail

This item appears in the following collection(s)

Show simple item record