20.500.12556/DiRROS-28075 Long-term outcome of the retropubic TVT procedure for women with stress urinary incontinence 20–25-year follow-up Introduction Stress urinary incontinence (SUI) significantly affects women’s quality of life. The tension-free vaginal tape (TVT) procedure has demonstrated short- and medium-term efficacy, but data beyond 15 years remain scarce. This study evaluates the 20- to 25-year outcomes of the retropubic TVT procedure in terms of efficacy, safety, and patient satisfaction. Methods This retrospective cohort study included 135 women that underwent the retropubic TVT procedure between 1998 and 2003. All surgeries were performed by two surgeons using the Gynecare TVT™ Sling. Data were obtained from medical records, follow-ups, and telephone interviews (January–March 2024). Outcomes were assessed using the Patient Global Impression of Improvement (PGI-I), International Consultation on Incontinence Questionnaire–Urinary Incontinence Short Form (ICIQ-UI SF), and Urinary Distress Inventory–Short Form (UDI-6). Results Out of 593 women originally treated, 135 completed long-term follow-up. The mean age at surgery was 50.3 years and 72.5 years at follow-up. The median PGI-I score of 2.0 indicated that 76.3 % of patients reported significant improvement. The median ICIQ-SF score was 7.0, reflecting moderate symptom burden, and the median UDI-6 score was 22.2, with 20 % of patients reporting significant urgency symptoms. Postoperative complications were low; 85.9 % of patients had no complications, 13.3 % experienced urinary retention, and 0.7 % had tape erosion. Repeat TVT was required in 9.6 % of cases, with significantly lower satisfaction (p = 0.002). PGI-I scores strongly correlated with ICIQ-SF (r = 0.801, p < 0.01) and UDI-6 (r = 0.676, p < 0.01). Conclusions TVT remains an effective long-term SUI treatment with high satisfaction and low complications. Long-term follow-up is essential for monitoring late-onset complications. urinary incontinence stress urinary incontinence surgery TVT follow-up true false true Angleški jezik Ni določen Neznano 2026-03-09 12:46:35 2026-03-09 12:46:36 2026-03-10 03:52:35 0000-00-00 00:00:00 2025 0 0 Nasl. z nasl. zaslona; Opis vira z dne 10. 6. 2025; str. 1-6 [article no.] 114110 Vol. 312 2025 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 618.1 1872-7654 10.1016/j.ejogrb.2025.114110 238904067 RAZ_Lebar_Vojka_2025.pdf RAZ_Lebar_Vojka_2025.pdf 1 3DB5CF0E278FE4691AEBA8E8C380D14A d4447cc85f9426c6fdb0f3e45fb040d64600a1f9aa51a7701d124cedfff95d01 d9d9bdad-1bad-11f1-b779-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=41465 https://www.ejog.org/article/S0301-2115(25)00386-0/fulltext 1 a19294a8-1bad-11f1-b779-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=41464 Univerzitetni klinični center Ljubljana 0 0 0