{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T13:17:19Z","timestamp":1790947039355,"version":"4.1.0"},"reference-count":24,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,9,11]],"date-time":"2022-09-11T00:00:00Z","timestamp":1662854400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Long\u2010term data regarding risks associated with tension\u2010free vaginal tapes (TVT) are sparse, and where available are limited to small numbers. We analyse patient\u2010reported outcomes of TVT after 16\u201324\u2009years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Prospective observational study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Single\u2010centre study in a tertiary referral urogynaecology unit.<\/jats:p><\/jats:sec><jats:sec><jats:title>Population<\/jats:title><jats:p>A cohort of 350 women who had a TVT inserted between 1999 and 2004, in which 96% had urodynamically proven stress incontinence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Postal questionnaire survey using the International Consultation on Incontinence Questionnaire, a visual analogue scale and a yes\/no question as to whether they would have the procedure again.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>The primary outcome was cure of stress urinary incontinence, which was assessed using the ICIQ\u2010FLUTS questionnaire. Secondary outcomes included overactive bladder symptoms, pain, sexual dysfunction, and patient satisfaction with the procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 183\/350 (52%) responses were received. The median age of women at follow up was 67\u2009years (range 53\u201393\u2009years) and the median follow up was 20\u2009years (17\u201324\u2009years). Stress urinary incontinence was denied by 39.3% of women. Urgency was reported by 42.1%. Bladder pain was reported either \u2018never\u2019 or \u2018occasionally\u2019 by 92.3% of women. The median satisfaction rate was 98\/100 and 92.4% said they would have the TVT procedure again.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Tension\u2010free vaginal tape has high levels of satisfaction and cure up to 24\u2009years after placement. Pain was uncommon and its impact on quality of life was low. Symptoms of urgency were prevalent but may be related to age. TVT is an effective treatment for SUI more than 20\u2009years after initial placement.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.17282","type":"journal-article","created":{"date-parts":[[2022,8,26]],"date-time":"2022-08-26T09:22:51Z","timestamp":1661505771000},"page":"107-113","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["The efficacy and complications of retropubic tension\u2010free vaginal tapes after 20\u2009years: A prospective observational study"],"prefix":"10.1111","volume":"130","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0793-9021","authenticated-orcid":false,"given":"Bobby D.","family":"O'Leary","sequence":"first","affiliation":[{"name":"Department of Urogynaecology National Maternity Hospital  Dublin 2 Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra","family":"McCreery","sequence":"additional","affiliation":[{"name":"Department of Urogynaecology National Maternity Hospital  Dublin 2 Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3432-0355","authenticated-orcid":false,"given":"Aisling E.","family":"Redmond","sequence":"additional","affiliation":[{"name":"Department of Urogynaecology National Maternity Hospital  Dublin 2 Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Declan P.","family":"Keane","sequence":"additional","affiliation":[{"name":"Department of Urogynaecology National Maternity Hospital  Dublin 2 Ireland"},{"name":"Royal College of Surgeons in Ireland National Maternity Hospital  Dublin 2 Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,9,11]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2003.04609.x"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1463423614000371"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.24838"},{"key":"e_1_2_12_5_1","unstructured":"CumberlegeJ.First do no harm: the report of the independent medicines and medical devices safety review. 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