A multicenter, prospective, randomized clinical trial comparing tension‐free vaginal tape surgery and no treatment for the management of stress urinary incontinence in elderly women

@article{Campeau2007AMP,
  title={A multicenter, prospective, randomized clinical trial comparing tension‐free vaginal tape surgery and no treatment for the management of stress urinary incontinence in elderly women},
  author={Lysanne Campeau and Le Mai Tu and Marguerite Lemieux and Alain Naud and Gilles Karsenty and Erik Schick and Jacques Corcos},
  journal={Neurourology and Urodynamics},
  year={2007},
  volume={26}
}
The aim of our study was to test the hypothesis that elderly women undergoing tension‐free vaginal tape surgery (TVT) will have a better quality of life (QOL) and satisfaction compared to non‐treated women despite age‐ and technique‐related potential morbidity. 
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TLDR
Higher age and BMI at surgery have a detrimental influence on the objective cure rate at 5 years after midurethral sling surgery; higher age also has a negative influence on subjective long-term outcomes.
REVIEW ARTICLE: Mid‐urethral synthetic slings for female stress urinary incontinence
TLDR
Further comparator evidence and evidence for use in specific patient groups (elderly, obese, intrinsic sphincter deficiency, mixed UI), as well as two recent meta‐analyses, are detailed.
Transobturator vaginal tape for the treatment of stress urinary incontinence in elderly women without concomitant pelvic organ prolapse: is it effective and safe?
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References

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Complications of tension‐free vaginal tape surgery: a multi‐institutional review
To analyse the complications of tension‐free vaginal tape (TVT) surgery, a minimally invasive alternative for treating patients with stress urinary incontinence (SUI), at six institutions, and to
A nationwide analysis of complications associated with the tension‐free vaginal tape (TVT) procedure
TLDR
To evaluate the therapy‐associated morbidity of all patients who underwent a TVT operation in Finland by the end of the year 1999, the number of patients with confirmed or suspected tetraplegia and/or encephalopathy was counted.
Urogynaecology: Quality of life before and after TVT, a prospective multicentre cohort study, results from the Netherlands TVT database
TLDR
The results allowed us to assess the long term outcome of tension‐free vaginal tape procedure in women with isolated stress urinary incontinence and found it to be safe and effective in both women and men.
Quality of life assessments in women operated on by tension-free vaginal tape (TVT)
TLDR
It is concluded that the TVT procedure significantly improved health-related quality of life in women who undergo tension-free vaginal tape (TVT) operation for stress urinary incontinence.
Long-term Results of the Tension-Free Vaginal Tape (TVT) Procedure for Surgical Treatment of Female Stress Urinary Incontinence
TLDR
It is concluded that the TVT procedure seems to fulfil the expectations of high long-term cure rates, as suggested in previous short-term reports.
The influence of age on quality of life outcome in women following a tension-free vaginal tape procedure.
TLDR
Tension-free vaginal tape is a viable treatment option to improve quality of life in older women with stress urinary incontinence and is effective in each group.
The tension‐free vaginal tape for treating female stress urinary incontinence
TLDR
The tension-free vaginal tape (TVT) is a relatively new procedure that uses a synthetic polypropylene mesh sling placed in the midurethral position that has gained widespread popularity amongst both urologists and urogynaecologists, although long-term results are not yet available.
Quality of life after tension-free vaginal tape surgery for female stress incontinence
TLDR
Improvements in measures of QOL after TVT surgery are dramatic and persist for years, and women with concomitant diseases that may be associated with urinary incontinence can be assured that there is a good chance of success withTVT surgery.
Tension free vaginal tape: a procedure for all ages
TLDR
To assess the success and complications of the tension free vaginal tape (TVT) procedure in different age groups, a large number of women between the ages of 18 and 74 underwent the procedure.
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