• The 3-yr follow-up was completed by 238 women (70%).
• The overall success rate, based on PGI-I, was 73.1%, with no significant difference between the inside-out and the outside-in TO-TVT (73.18% vs. 72.3%; OR 0.927; 95% CI, 0.552-1.645; p = 0.796).
• Compared with the 1-year follow-up, there was a significant reduction in the patient-reported success rate (p = 0.005); however no independent risk factors were identified.
• A clinically significant improvement (>10 points on KHQ) was seen in 80% (n = 191) of women, with no significant difference between both groups (p= 0.113).
• Twenty-two women (6%) underwent further surgical treatment within 3 year.
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