{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T00:20:10Z","timestamp":1768004410674,"version":"3.49.0"},"reference-count":23,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2018,10,8]],"date-time":"2018-10-08T00:00:00Z","timestamp":1538956800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To assess the long\u2010term outcomes of tension\u2010free vaginal tape obturator (inside\u2010out) (<jats:styled-content style=\"fixed-case\">TVTO<\/jats:styled-content>) with or without anterior colporrhaphy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The present prospective follow\u2010up observational study included patients attending the 2nd Department of Obstetrics and Gynecology, Aretaieio Hospital, University of Athens, Greece, between April 3 and December 20, 2017, for follow\u2010up care after treatment for urodynamic stress urinary incontinence (<jats:styled-content style=\"fixed-case\">USUI<\/jats:styled-content>) with or without cystocele. Patients without cystocele had been treated with <jats:styled-content style=\"fixed-case\">TVTO<\/jats:styled-content> only; those with cystocele underwent <jats:styled-content style=\"fixed-case\">TVTO<\/jats:styled-content> with anterior colporrhaphy. The primary outcome was the objective cure rate assessed by the cough stress test during filling cystometry.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Follow\u2010up data were available for 70 patients who underwent <jats:styled-content style=\"fixed-case\">TVTO<\/jats:styled-content> only and 38 who underwent <jats:styled-content style=\"fixed-case\">TVTO<\/jats:styled-content> and anterior colporrhaphy. The mean follow\u2010up period was 13\u00a0years. Objective cure was achieved for 57 (81%) patients in the <jats:styled-content style=\"fixed-case\">TVTO<\/jats:styled-content>\u2010only group and 32 (84%) patients in the <jats:styled-content style=\"fixed-case\">TVTO<\/jats:styled-content> and anterior colporrhaphy group. Regarding cystocele management, objective cure was recorded for 35 (92%) patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>At 13\u2010year follow\u2010up, anterior colporrhaphy demonstrated a cure rate of 92% in the management of cystocele, and 84% in the management of cystocele and <jats:styled-content style=\"fixed-case\">USUI<\/jats:styled-content> when combined with <jats:styled-content style=\"fixed-case\">TVTO<\/jats:styled-content>. <jats:styled-content style=\"fixed-case\">TVTO<\/jats:styled-content> alone for the management of <jats:styled-content style=\"fixed-case\">USUI<\/jats:styled-content> had an objective cure rate of 81%.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12682","type":"journal-article","created":{"date-parts":[[2018,9,21]],"date-time":"2018-09-21T21:59:01Z","timestamp":1537567141000},"page":"339-343","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Long\u2010term efficacy follow\u2010up of tension\u2010free vaginal tape obturator in patients with stress urinary incontinence with or without cystocele"],"prefix":"10.1002","volume":"143","author":[{"given":"Panagiotis","family":"Bakas","sequence":"first","affiliation":[{"name":"2nd Department of Obstetrics and Gynecology Aretaieio Hospital University of Athens  Athens Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emmalouel","family":"Papadakis","sequence":"additional","affiliation":[{"name":"2nd Department of Obstetrics and Gynecology Aretaieio Hospital University of Athens  Athens Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charalampos","family":"Karachalios","sequence":"additional","affiliation":[{"name":"2nd Department of Obstetrics and Gynecology Aretaieio Hospital University of Athens  Athens Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anastasia","family":"Beta","sequence":"additional","affiliation":[{"name":"2nd Department of Obstetrics and Gynecology Aretaieio Hospital University of Athens  Athens Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angelos","family":"Liapis","sequence":"additional","affiliation":[{"name":"2nd Department of Obstetrics and Gynecology Aretaieio Hospital University of Athens  Athens Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,10,8]]},"reference":[{"issue":"153","key":"e_1_2_7_2_1","first-page":"7","article-title":"Papa Petros\u2019 and Ulf I. 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