Transvaginal adjustable tape: an adjustable mesh for surgical treatment of female stress urinary incontinence.
After transvaginal adjustable tape, approximately 15% of patients still suffer incontinence, and voiding dysfunction is present in a relatively important number of patients. Transvaginal adjustable tape (TVA) permits postoperative readjustment of tension, suggesting that better results could be obtained. Sixty-four incontinent women received TVA. Patients were monitored 1, 6, and 12 months post-surgery and annually thereafter by medical history, cough stress test, flowmetry and post-void residual test (PVR), incontinence quality of life, International Consultation on Incontinence Questionnaire-Short Form, and Patient Global Impressions of Improvement (PGI-I) questionnaires. After adjustment, all patients rendered continent, and none had PVR. On no occasion was vesical catheterization or uretholysis necessary. Mean follow-up was 40+/-12.9 months. Objective and subjective cure rate were 94% and 56%, respectively. Qmax was 22.3+/-9.9 ml/s. The PGI-I questionnaire showed 94% of patients to be better or very much better than before. Our data suggest that with TVA tape, better results can be obtained, furthermore, without increasing surgical complications.
Romero Maroto
Jesus
J
Servicio de Urología, Hospital Universitario de San Juan, Carretera Alicante Valencia s/n. San Juan de Alicante, 03550 Alicante, Spain. jesus.romero@umh.es
Ortiz Gorraiz
Manuel
M
Prieto Chaparro
Luis
L
Pacheco Bru
Juan J
JJ
Miralles Bueno
Juan J
JJ
Lopez Lopez
Cristobal
C
D000368:Aged; D005260:Female; D006801:Humans; D008875:Middle Aged; D011474:Prosthesis Design; D019919:Prosthesis Implantation / Q000379:methods*; D011788:Quality of Life; D053825:Suburethral Slings; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000503:physiopathology / Q000601:surgery*; D014563:Urodynamics