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Transvaginal adjustable tape: an adjustable mesh for surgical treatment of female stress urinary incontinence

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Abstract

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. Q max 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.

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Acknowledgment

The Urology Research Foundation of the Spanish Urology Association has contributed with economic support in this study.

Conflict of interest

Prof. J. Romero has a patent pending. International application no. PCT/ES03/00128.

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Authors and Affiliations

  1. Servicio de Urología, Hospital Universitario de San Juan, Carretera Alicante Valencia s/n. San Juan de Alicante, 03550, Alicante, Spain

    Jesus Romero Maroto, Manuel Ortiz Gorraiz, Luis Prieto Chaparro, Juan J. Pacheco Bru & Cristobal Lopez Lopez

  2. Department of Public Health, Hospital Universitario de San Juan, Miguel Hernández University, San Juan de Alicante, Spain

    Juan J. Miralles Bueno

Authors
  1. Jesus Romero Maroto
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  2. Manuel Ortiz Gorraiz
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  3. Luis Prieto Chaparro
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  4. Juan J. Pacheco Bru
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  5. Juan J. Miralles Bueno
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  6. Cristobal Lopez Lopez
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Correspondence to Jesus Romero Maroto.

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Romero Maroto, J., Ortiz Gorraiz, M., Prieto Chaparro, L. et al. Transvaginal adjustable tape: an adjustable mesh for surgical treatment of female stress urinary incontinence. Int Urogynecol J 19, 1109–1116 (2008). https://doi.org/10.1007/s00192-008-0590-2

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  • DOI: https://doi.org/10.1007/s00192-008-0590-2

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