Quality of life and continence 1 year after the tension-free vaginal tape operation

Am J Obstet Gynecol. 2006 Dec;195(6):1784-8. doi: 10.1016/j.ajog.2006.07.014.


Objective: The purpose of this study was to evaluate changes in condition-specific and generic quality of life (QOL) and continence rates 1 year after the tension-free vaginal tape (TVT) operation for stress urinary incontinence.

Study design: A total of 99 patients undergoing the TVT operation underwent clinical and urodynamic assessment and completed the German language King's Health Questionnaire (KHQ) and the Short Form 36 (SF-36) before and 3 and 12 months after surgery. Overall, 72 TVTs were performed as isolated procedure and 27 in combination with other operations. Data were analyzed with the Chi-square test, analyses of variance, and the Tukey test.

Results: Overall, the objective continence rate was 80% at 1 year and did not differ significantly between patients with or without concomitant surgery. Significant and clinically relevant (>10 points) improvements were seen in all domains of the KHQ except General Health perception. The SF-36 showed statistically significant but not clinically significant improvement.

Conclusion: The TVT operation is associated with improved condition-specific QOL in women with stress urinary incontinence. The condition-specific KHQ is more appropriate than the generic SF-36 for evaluating treatment results in women treated for incontinence.

MeSH terms

  • Aged
  • Equipment Design
  • Female
  • Humans
  • Middle Aged
  • Postoperative Period
  • Quality of Life*
  • Reproducibility of Results
  • Surgical Tape*
  • Surveys and Questionnaires / standards
  • Time Factors
  • Treatment Outcome
  • Urinary Incontinence, Stress / physiopathology*
  • Urinary Incontinence, Stress / psychology
  • Urinary Incontinence, Stress / surgery*
  • Urodynamics
  • Urologic Surgical Procedures*