{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T14:08:21Z","timestamp":1784124501944,"version":"3.55.0"},"reference-count":37,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2023,12,21]],"date-time":"2023-12-21T00:00:00Z","timestamp":1703116800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate rates of subjective and objective cure, treatment satisfaction, pain, and the correlation between cure and body mass index (BMI), at 10 and 20\u2009years after tension\u2010free vaginal tape (TVT) surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Retrospective cohort study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Multicentre study including 19\u2009units in Norway.<\/jats:p><\/jats:sec><jats:sec><jats:title>Population<\/jats:title><jats:p>Women undergoing TVT surgery for stress urinary incontinence (SUI) during 2001\u20132006 (20\u2010year cohort) and 2011\u20132012 (10\u2010year cohort).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The Norwegian Female Incontinence Registry was used to identify women eligible for the study, who answered validated questionnaires about urinary incontinence, pain and satisfaction.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Subjective cure of SUI (with stress index of &lt;3, range 0\u201312), objective cure (&lt;3\u2009g on stress test) and persisting pain and satisfaction after TVT (scored on a five\u2010point Likert scale).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, 1210 of 1903 (64%) patients responded. The subjective cure rate was 68% after 10\u2009years, versus 59% after 20\u2009years, and did not significantly differ after adjusting for age, BMI, parity and preoperative stress index (adjusted OR\u20091.27, 95%\u2009CI 0.82\u20131.94). The objective cure rate was 100% versus 93% (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), with 89% versus 76% reporting subjective satisfaction (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), and with 4.7% versus 2.7% reporting persisting pain (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), after 10 versus 20\u2009years, respectively. Women in obesity classes\u2009I and II, compared with women of normal weight, had an increased risk of not being subjectively cured (crude OR\u20092.02, 95%\u2009CI 1.42\u20132.90; OR\u20092.95, 95%\u2009CI 1.60\u20135.46, respectively).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Tension\u2010free vaginal tape (TVT) provided high rates of subjective and objective cure at 10 and 20\u2009years after surgery, with no significant difference between the two cohorts. Although 3%\u20135% of women experienced persisting pain, most women were satisfied with TVT surgery. Obesity was associated with a lower cure rate.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1471-0528.17738","type":"journal-article","created":{"date-parts":[[2023,12,21]],"date-time":"2023-12-21T10:04:20Z","timestamp":1703153060000},"page":"1146-1153","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Rates of subjective and objective cure, satisfaction, and pain 10\u201320\u2009years after tension\u2010free vaginal tape (TVT) surgery: A retrospective cohort study"],"prefix":"10.1111","volume":"131","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-3159-6822","authenticated-orcid":false,"given":"Berit Rein","family":"Solhaug","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology St. Olavs University Hospital  Trondheim Norway"},{"name":"Department of Clinical and Molecular Medicine Norwegian University of Science and Technology  Trondheim Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria \u00d8yas\u00e6ter","family":"Nyhus","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology St. Olavs University Hospital  Trondheim Norway"},{"name":"Department of Clinical and Molecular Medicine Norwegian University of Science and Technology  Trondheim Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rune","family":"Svenningsen","sequence":"additional","affiliation":[{"name":"Faculty of Medicine University of Oslo  Oslo Norway"},{"name":"Department of Gynecology Oslo University Hospital  Oslo Norway"},{"name":"The Norwegian Female Incontinence Registry Oslo University Hospital  Oslo Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingrid","family":"Voll\u00f8yhaug","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology St. Olavs University Hospital  Trondheim Norway"},{"name":"Department of Clinical and Molecular Medicine Norwegian University of Science and Technology  Trondheim Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,12,21]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2003.10.037"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e31816a1e12"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0895-4356(00)00232-8"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1080\/13697137.2018.1543263"},{"key":"e_1_2_12_6_1","first-page":"34","article-title":"The tensionfree vaginal tape procedure (TVT) for treatment of female urinary incontinence. 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