BACKGROUND: Comparison of the quality of life (QoL) trends after TVT, TVT O and Burch colposuspension (BCS) procedures and comparison of long-term subjective and objective outcomes. MATERIAL/METHODS: The study included 215 women who underwent a TVT, TVT O or BCS procedure. We monitored QoL after each procedure and the effect of complications on the QoL as assessed by the IQOL questionnaire over a 3-year period. RESULTS: The study was completed by 74.5% of women after TVT, 74.5% after TVT O, and 65.2% after BCS procedure. In the long-term, the QoL improved from 46.9 to 88.7 and remained stable after BCS; after TVT and TVT O, it declined, but only after TVT O was the decline statistically significant compared to BCS. The IQOL for women with post-operative complications has a clear descending tendency. The effect of the complications is highly significant (p<0.001). Only the OAB complication had a statistically significant effect on QoL p<0.001. Preexistent OAB does not negatively affect postoperative results of anti-incontinence surgery. CONCLUSIONS: There was a statistically significant decline with the longitudinal values of IQOL with TVT O, but not with TVT or BCS. Anti-incontinence operations significantly improve quality of life for women with MI, but compared to the SI group, the quality of life is worse when measured at a longer time interval after the operation. Anti-incontinence operations significantly improve quality of life, and the difference in preoperative status in the long-term follow-up is demonstrable.

Department of Obstetrics and Gynecology 1st Medical Faculty Charles University and General Teaching Hospital Prague Prague Czech Republic

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Abrams P, Cardozo L, Magnus Fall, et al. The standardization of terminology of lower urinary tract function: Report from the standardization sub-committee of the ICS. Neurol Urodyn. 2002;21:167–78. PubMed

Haylen BT, de Ridder D, Freeman RM, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Int Urogynecol J Pelvic Floor Dysfunct. 2010;21:5–26. PubMed

Swithinban L, Abrams P. Lower urinary tracts symptoms in community dwelling women. BJU Int. 2002;88:18–22. PubMed

Alcalay M, Monga A, Stanton SL. Burch colposuspension: a 10–20 year follow up. Br J Obstet Gynaecol. 1995;102:740–45. PubMed

Lapitan MCM, Cody JD, Grant A. Open Retropubic Colposuspension for Urinary Incontinence in Women: A short version Cochrane Rewiew. Neurol Urodyn. 2009;28:472–80. PubMed

Ulmsten U, Johnson P, Rezapour M. A three-year follow up of tension free vaginal tape for surgical treatment of female stress urinary incontinence. Br J Obstet Gynaecol. 1999;106:345–50. PubMed

Nilsson CG, Kuuva N, Falconer C, et al. Long-term results of the tension-free vaginal tape (TVT) procedure for surgical treatment of female stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 2001;12(Suppl 2):S5–8. PubMed

Nilsson C, Falconer C, Rezapour M. Seven-year follow-up of the tension-free vaginal tape procedure for treatment of urinary incontinence. Obstet Gynecol. 2004;104:1259–62. PubMed

Nilsson CG, Palva K, Rezapour M, Falconer C. Eleven years prospective follow-up of the tension-free vaginal tape procedure for treatment of stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 2008;19:1043–47. PubMed

Novara G, Ficarra V, Boscolo-Berto R, et al. Tension-free midurethral slings in the treatment of female stress urinary incontinence: a systematic review and meta-analysis of randomized controlled trials of effectiveness. Eur Urol. 2007;52:663–78. PubMed

Nilsson CG, Palva K, Rezapour M, Falconer C. Eleven years prospective follow-up of the tension-free vaginal tape procedure for treatment of stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 2008;19:1043–47. PubMed

Dietz HP, Wilson PD. Colposuspension success and failure: A long-term objective follow up study. Int Urogyn J. 2000;11:346–51. PubMed

Ward KL, Hilton P UK a Ireland TVT group. A prospective multicentre randomized trial of TVT and colposuspension for primary urodynamic stress inkontinence: two years follow up. Am J Obst Gynecol. 2004;190:324–31. PubMed

Patrick DL, Martin M, Bushnell DM, et al. Quality of life of women with urinary incontinence: Further development of the incontinence quality of life instrument (I-QOL) Urology. 1999;53:71–76. PubMed

Schafer W, Abrams P, Liao L, et al. Good Urodynamic Practis: Uroflowmetry, Filling Cystometry, and Pressure-Flow Studies. Neurolurol Urodyn. 2002;21:75–82. PubMed

Bø K, Brubaker LP, DeLancey JO, et al. The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol. 1996;175:10–17. PubMed

de Leval J. Novel surgical technice for treatment of female stress urinary inkontinence: transobturator vaginal tape incide out. Eur Urol. 2003;44:724–30. PubMed

R-foundation T. R, a language and enviroment for statistical computing. Retrieved 12 December 2009, from http://www.r-project.org.

Holmgren C, Nilsson S, Lanner L, Hellberg D. Frequency of de novo urgency in 463 women who had undergone the tension-free vaginal tape (TVT) procedure for genuine stress urinary incontinencw - a long-term follow-up. Eur J Obstet Gynecol Reprod Biol. 2007;132:121–25. PubMed

Latthe PM. Review of transobturatoe and retropubic tape procedures for stress urinary incontinence. Curr Opinion in Obst and Gyn. 2008;20:331–36. PubMed

Laurikainen E, Valpas A, Kivela A, et al. Retropubic Compared With Transobturator Tape Replacement in Treatment of Urinary Incontinence. Obst and Gynecol. 2007;109:4–11. PubMed

Novara G, Galfano A, Boscolo-Berto R, et al. Complication rate s of tension free midurethral slings in the treatment of female stress incontinence: a systematic rewiew and metaanalysis of randomized controlled trials comparing tension free midurethral tapes to other surgigal procedures and different device. Eur Urol. 2008;53:288–308. PubMed

Porena M, Constantini E, Frea B, et al. Tension-Free Vaginal Tape versus Transobturator tape as surgery for stress urinary incontinence: Results of a multicentre randomised trial. Eur Urol. 2007;52:1481–91. PubMed

Rinne K, Laurikainen E, Kivela A, et al. A randomized trial comparing TVT with TVT O: 12-month results. Int Urogynecol J Pelv Floor Dysf. 2008;19:1049–54. PubMed

Segal JL, Vassallo B, Kleeman S, et al. Prevalence of persistent and de novo overactive bladder symptoms after the tension-free vaginal tape. Obstet Gynecol. 2004;104:1263–69. PubMed

Swati J, Jones G, Radley S, Farkas A. Factor influencing outcome followin the tension-free vaginal tape (TVT) Eur JObst Gyn Reprod Biol. 2009;144:85–87. PubMed

Haessler AL, Nguyen JN, Bhatia NN. Impact of urodynamic based incontinence diagnosis on quality of life in women. Neurol Urodyn. 2009;28:183–87. PubMed

Frick AC, Huang AJ, Van den Eeden SK, et al. Mixed urinary incontinence: greater impact on quality of life. J Urol. 2009;182:596–600. PubMed PMC

Jenicek M. Clinical case reports and case series research in evaluating surgery. Part I. The context: General aspects of evaluation applied to surgery. Med Sci Monit. 2008;14(9):RA133–43. PubMed