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Long-term efficacy and safety of tension free vaginal tape in a historic cohort of 463 women with stress urinary incontinence

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Abstract

Introduction and hypothesis

We report retrospective data on the long-term safety and efficacy of the retropubic midurethral sling (MUS) in a large series of women with stress urinary incontinence.

Methods

In all, 517 patients were treated during the period January 2005 to June 2012 at a single centre in France. The Urinary Symptoms Profile score was used to identify women who were subjectively cured or improved or in whom treatment had failed. The rates of peroperative, and early (<30 days) and late postoperative complications were recorded.

Results

A total of 463 patients were evaluable at a mean (±SD) follow-up of 71 ± 23 months. At the last follow-up, 344 patients (74.3 %) demonstrated subjective cure, 55 (11.9 %) were improved and 64 (13.8 %) had treatment failure. Bladder perforations occurred in 33 patients (7.1 %); however, this had no effect on cure rate. In the early postoperative period, temporary intermittent self-catheterization was required in 10 patients (2.2 %) due to voiding difficulties. The most frequent long-term postoperative complication was de novo urge incontinence that was reported by 59 patients (12.7 %); seven patients (1.5 %) needed tape excision due to voiding difficulties and six (1.3 %) needed tape removal due to erosion or chronic pain.

Conclusions

The retropubic MUS was shown to be durable at a mean follow-up of 71 ± 23 months, with a high success/improvement rate and no serious long-term tape-induced adverse effects.

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Acknowledgements

Editorial support was provided by Medscimedia Ltd and funded by Boston Scientific Corporation.

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Authors and Affiliations

  1. Urology and Andrology Department, University Hospital of Nîmes, CHU Caremeau, Place du Professeur Robert Debré, 30029, Nîmes, Cedex 9, France

    Armand Chevrot, Stéphane Droupy, Gregoire Coffin, Laurent Soustelle, Michel Boukaram, Laurent Wagner & Pierre Costa

  2. Department of Obstetrics and Gynaecology, University Hospital, Nîmes, France

    Brigitte Fatton & Renaud de Tayrac

Authors
  1. Armand Chevrot
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  2. Stéphane Droupy
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  3. Gregoire Coffin
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  4. Laurent Soustelle
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  5. Michel Boukaram
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  6. Brigitte Fatton
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  7. Renaud de Tayrac
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  8. Laurent Wagner
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  9. Pierre Costa
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Correspondence to Armand Chevrot.

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Conflicts of interest

B. Fatton: Payment received for honoraria, research and consultancy from Boston Scientific and AMS; payment received for consultancy from Allergan and Astellas.

R. de Tayrac: Payment received for honoraria, research and consultancy from Boston Scientific.

P. Costa: Payment received for honoraria, research and consultancy from Boston Scientific.

All other authors declare no conflicts of interest.

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Chevrot, A., Droupy, S., Coffin, G. et al. Long-term efficacy and safety of tension free vaginal tape in a historic cohort of 463 women with stress urinary incontinence. Int Urogynecol J 28, 827–833 (2017). https://doi.org/10.1007/s00192-016-3230-2

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  • DOI: https://doi.org/10.1007/s00192-016-3230-2

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