Objective: To evaluate the three years result of TVT procedure in Thai women with genuine stress urinary
incontinence (SUI).
Material and Method: Sixty three women, aged 35-71 years attending the gynecology clinic at King Chulalongkorn Hospital from February 2000 to May 2001 were recruited in the present study. Pre-operative evaluation included history taking and physical examination. All had stress urinary incontinence urodynamically confirmed genuine stress urinary incontinence and were treated with TVT. Follow up at 3, 6, 12, 18, 24, 30 and 36 months were scheduled after surgery.
Results: The mean + SD of operative time for TVT was 32.3 + 10.0 min the mean + SD of hospitalization was 1.8 + 2.0 days. Two patients had bladder perforations by the trocar without severe bleeding and needed no reparation. No healing defect or rejection of the prolene mesh was found. The cure rate and improved rate were 95.2% and 4.8% respectively (60 from 63 cases) at 3 years follow up.
Conclusion: The three years results revealed that TVT was effective and safe in the treatment of SUI in Thai women.

Keywords: Tension free vaginal tape, Stress urinary incontinence