Transobturator adjustable tape (TOA) permits to correct postoperatively the tension applied in stress incontinence surgery View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2009-07

AUTHORS

Jesús Romero Maroto, Manuel Ortiz Gorraiz, Juan José Miralles Bueno, Luís Gómez Pérez, Juan José Pacheco Bru, Luis Prieto Chaparro

ABSTRACT

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. More... »

PAGES

797-805

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00192-009-0872-3

DOI

http://dx.doi.org/10.1007/s00192-009-0872-3

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1035273150

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/19390762


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