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Transobturator adjustable tape (TOA) permits to correct postoperatively the tension applied in stress incontinence
Jesús Romero Maroto1, Manuel Ortiz Gorraiz, Juan José Miralles Bueno
1Urology Department, San Juan de Alicante University Hospital, Alicante-Valencia road, 03550, Alicante, Spain. jesus.romero@umh.es
Introduction And Hypothesis:
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.
