title: Transobturator adjustable tape (TOA) permits to correct postoperatively the tension applied in stress incontinence surgery.
abstract: OBJECTIVE
  The adjustable transvaginal tape (TVA) has shown to allow adjustment of tension thus permitting correction of postoperative incontinence or obstruction. An adjustable transobturator mesh has been checked.
  
  
  METHODS
  Seventy-seven incontinent women received transobturator adjustable tape (TOA). Patients were monitored 1, 6, and 12 months post-surgery and annually thereafter by medical history, cough stress test, flowmetry, post-void residual (PVR), and incontinence quality of life, international consultation on incontinence-short form, and patient global impressions of improvement (PGI-I) questionnaires.
  
  
  RESULTS
  After adjustment, all patients rendered continent; none had PVR. On no occasion was vesical catheterization necessary. Mean follow-up was 24.7 +/- 10.3 months. Objective cure rate was 90% with 6.5% having greatly improved. The PGI-I questionnaire showed 90.7% of patients to be better or very much better than before. Q (max) was 21.3 +/- 7.2 ml/s. No infection was identified. Vaginal extrusion occurred in one patient.
  
  
  CONCLUSIONS
  Our data demonstrate that the TOA allows postoperative adjustment of tension thus permitting correction of postoperative incontinence or obstruction.
authors.affiliation: Urology Department, San Juan de Alicante University Hospital, Alicante-Valencia road, 03550, Alicante, Spain. jesus.romero@umh.es
authors.forename: Jesús Romero
authors.initials: JR
authors.lastname: Maroto
authors.forename: Manuel Ortiz
authors.initials: MO
authors.lastname: Gorraiz
authors.forename: Juan José Miralles
authors.initials: JJ
authors.lastname: Bueno
authors.forename: Luís Gómez
authors.initials: LG
authors.lastname: Pérez
authors.forename: Juan José Pacheco
authors.initials: JJ
authors.lastname: Bru
authors.forename: Luis Prieto
authors.initials: LP
authors.lastname: Chaparro
mesh_terms: D000368:Aged; D004867:Equipment Design; D005260:Female; D005500:Follow-Up Studies; D013509:Gynecologic Surgical Procedures / Q000295:instrumentation / Q000379:methods*; D006306:Health Surveys; D006801:Humans; D015994:Incidence; D008875:Middle Aged; D017060:Patient Satisfaction; D011182:Postoperative Care / Q000379:methods*; D011788:Quality of Life; D053825:Suburethral Slings; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000453:epidemiology / Q000601:surgery*