Background
Long‐term outcomes of the tension‐free vaginal tape (TVT) procedure are needed to assess its efficacy.

Methods
This was a cross‐sectional study of the subjective outcome in patients with stress urinary incontinence (SUI) operated on consecutively by a single surgeon. Success was defined as the absence of SUI at the time of the study. The validated questionnaires Urogenital Distress Inventory‐6 (UDI‐6) and Incontinence Impact Questionnaire (IIQ‐7) were used to find the minimum important difference (MID) to support subjective reports of success.

Results
One hundred and sixty‐six patients were evaluated with a mean follow‐up time of 58 ± 28.6 months. Fifty‐five (33.1%) patients underwent the TVT procedure alone, and 111 (66.9%) underwent the TVT procedure with concomitant pelvic organ prolapse (POP) repair.
One hundred and thirty‐three (80.1%) patients reported being subjectively cured with no stress incontinence at the time of the study.
A total of 138 (83.1%) patients reported an MID > 11 points when comparing the postoperative to the pre‐operative UDI‐6 scores.
A total of 122 (73.5%) patients reported an MID > 16 points when comparing the postoperative to the pre‐operative IIQ‐7 scores.
There was no evident decline in the yearly percentage of patients who achieved an MID > 11 or MID > 16 in the UDI‐6 and IIQ‐7 scores, respectively.

Conclusions
The TVT procedure in a population in which 67% underwent a concomitant POP repair was associated with a subjective cure rate of 80% and an MID > 11 in 82.7% of patients in the UDI‐6 questionnaire and an MID > 16 in 75.1% patients in the IIQ‐7 questionnaire.