International urogynecology journal · 2026
Long-Term Outcomes of Transobturator Mid-Urethral Sling for the Treatment of Stress Urinary Incontinence Among Chinese Women.
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Cheng Mei Chi, Fan Yuk Sheung, Cheon Willy Cecilia
Аннотация
INTRODUCTION AND HYPOTHESIS: Transobturator mid-urethral sling (TVT-O), a surgical treatment for stress urinary incontinence, has been shown to be highly effective in the short and medium term. However, long-term outcomes with larger sample sizes are lacking. The study is aimed at assessing the efficacy and safety of TVT-O over a 10-year follow-up period in Chinese women.
METHODS: This prospective observational study included Chinese women who underwent TVT-O for urodynamic stress incontinence. Objective cure was defined as the absence of urodynamic stress incontinence on a urodynamic study, whereas a subjective cure was defined as the patient's perception of their condition. Quality of life (QOL) was assessed using the validated Urogenital Distress Inventory-6 questionnaire and the Incontinence Impact Questionnaire-7, along with the visual analogue scale (VAS).
RESULTS: A total of 326 Chinese women were included in the study. The objective and subjective cure rates at the 10-year follow-up were 75.2% and 73.6% respectively. Significant improvements were observed across all QOL domains. The mean VAS satisfaction score was 8.5 out of 10 after 10 years. Complications were uncommon; 2 women (0.6%) experienced tape erosion, one of whom required local excision. No patients reported persistent thigh pain after 10 years. The cumulative rate of repeating the mid-urethral sling procedure was 2.5%.
CONCLUSIONS: The TVT-O is a highly effective and safe surgical treatment for women with stress urinary incontinence at the 10-year follow-up. Thigh pain after TVT-O is rare and should not prevent women from considering this beneficial treatment.
METHODS: This prospective observational study included Chinese women who underwent TVT-O for urodynamic stress incontinence. Objective cure was defined as the absence of urodynamic stress incontinence on a urodynamic study, whereas a subjective cure was defined as the patient's perception of their condition. Quality of life (QOL) was assessed using the validated Urogenital Distress Inventory-6 questionnaire and the Incontinence Impact Questionnaire-7, along with the visual analogue scale (VAS).
RESULTS: A total of 326 Chinese women were included in the study. The objective and subjective cure rates at the 10-year follow-up were 75.2% and 73.6% respectively. Significant improvements were observed across all QOL domains. The mean VAS satisfaction score was 8.5 out of 10 after 10 years. Complications were uncommon; 2 women (0.6%) experienced tape erosion, one of whom required local excision. No patients reported persistent thigh pain after 10 years. The cumulative rate of repeating the mid-urethral sling procedure was 2.5%.
CONCLUSIONS: The TVT-O is a highly effective and safe surgical treatment for women with stress urinary incontinence at the 10-year follow-up. Thigh pain after TVT-O is rare and should not prevent women from considering this beneficial treatment.