Risk factors of long-term complications after Tension-Free Vaginal Tape (TVT) procedure in Chinese patients with stress urinary incontinence.

This study evaluated the safety profile and also the contributing risk factors of tension-free vaginal tape (TVT) in the management of stress urinary incontinence in Chinese patients. Clinical data of the patients who received TVT procedure in Renji Hospital were retrospectively reviewed and the contributing risk factors for long-term complications were analyzed. The incidence of overactive bladder symptoms and vaginal tape erosion after TVT procedure was found to be higher than that was reported earlier. Risk factor analysis showed that year of TVT experience, preoperative urinary frequency and prior pelvic surgery contributed independently to the overactive bladder complication. Year of TVT experience, urinary voiding difficulty, number of vaginal childbearing and diabetes history were proposed as independent risk factors of vaginal tape erosion. Chinese female patients undergoing TVT procedure suffered from higher incidence of long-term complications such as overactive bladder symptoms and vaginal tape erosion.