{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T01:13:46Z","timestamp":1784855626882,"version":"3.55.0"},"reference-count":25,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2024,11,4]],"date-time":"2024-11-04T00:00:00Z","timestamp":1730678400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,11,4]],"date-time":"2024-11-04T00:00:00Z","timestamp":1730678400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int Urogynecol J"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Introduction and Hypothesis<\/jats:title>\n            <jats:p>The objective was to evaluate the long-term subjective efficacy of the tension-free vaginal tape-obturator (TVT-O) technique in the treatment of female stress urinary incontinence (SUI).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>A retrospective analysis was performed on 84 patients who underwent TVT-O surgery for SUI in a tertiary center between January 2007 and December 2013. All patients filled in the Urinary Incontinence Quality of Life Questionnaire (I-QOL), the International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF), and the Pelvic Organ Prolapse\/Urinary Incontinence Sexual Questionnaire short form (PISQ-12). Subjective efficacy, including surgical efficacy, clinical severity of SUI, improvement in quality of life (QoL), and sexual activity with regard to TVT-O were compared before and after surgery (\u2265\u200910 years).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>The average postoperative follow-up time was 12.6\u2009\u00b1\u20091.9\u00a0years, range, 10\u201316\u00a0years. The overall subjective effectiveness of the surgery was 94.0% (79 out of 84). The subjective clinical severity significantly improved more than 10 years after surgery compared with the preoperative value (<jats:italic>p<\/jats:italic>\u2009=\u20090.000). The median I-QOL score was 88.1 (84.1\u201392.0) preoperatively and 98.3 (94.3\u201399.7) postoperatively, and the long-term QoL of postoperative patients was significantly improved (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). The median ICIQ-SF score was 10.5 (8\u201315) preoperatively, and 3 (0\u20135) postoperatively, and the ICIQ-SF score before and after surgery showed significant improvement in urinary incontinence symptoms (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05). No difference was observed in the PISQ-12 scores before and after surgery in the sexually active population.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p>The TVT-O technique still has good subjective efficacy in SUI more than 10 years after surgery and significantly improves the QoL of patients.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00192-024-05962-6","type":"journal-article","created":{"date-parts":[[2024,11,4]],"date-time":"2024-11-04T12:02:09Z","timestamp":1730721729000},"page":"551-556","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Long-Term Subjective Efficacy of Female Stress Urinary Incontinence with Tension-Free Vaginal Tape-Obturator Technique"],"prefix":"10.1007","volume":"36","author":[{"given":"Songwen","family":"Nian","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoqing","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ye","family":"Lu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,11,4]]},"reference":[{"key":"5962_CR1","first-page":"193","volume":"15","author":"R Mohamed-Ahmed","year":"2023","unstructured":"Mohamed-Ahmed R, Taithongchai A, da Silva AS, Robinson D, Cardozo L. 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