Transobturator adjustable tape (TOA) permits to correct postoperatively the tension applied in stress incontinence surgery.
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.
Maroto
Jesús Romero
JR
Urology Department, San Juan de Alicante University Hospital, Alicante-Valencia road, 03550, Alicante, Spain. jesus.romero@umh.es
Gorraiz
Manuel Ortiz
MO
Bueno
Juan José Miralles
JJ
Pérez
Luís Gómez
LG
Bru
Juan José Pacheco
JJ
Chaparro
Luis Prieto
LP
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*