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

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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.

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Acknowledgements

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

Conflicts of interest

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

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Authors and Affiliations

  1. Urology Department, San Juan de Alicante University Hospital, Alicante–Valencia road, 03550, Alicante, Spain

    Jesús Romero Maroto, Manuel Ortiz Gorraiz, Luís Gómez Pérez & Juan José Pacheco Bru

  2. Public Health Department, San Juan de Alicante University Hospital, Alicante, Spain

    Juan José Miralles Bueno

  3. Urology Department, Elche University Hospital, Alicante, Spain

    Luis Prieto Chaparro

Authors
  1. Jesús Romero Maroto
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  2. Manuel Ortiz Gorraiz
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  3. Juan José Miralles Bueno
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  4. Luís Gómez Pérez
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  5. Juan José Pacheco Bru
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  6. Luis Prieto Chaparro
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Correspondence to Jesús Romero Maroto.

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Romero Maroto, J., Ortiz Gorraiz, M., Miralles Bueno, J.J. et al. Transobturator adjustable tape (TOA) permits to correct postoperatively the tension applied in stress incontinence surgery. Int Urogynecol J 20, 797–805 (2009). https://doi.org/10.1007/s00192-009-0872-3

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  • DOI: https://doi.org/10.1007/s00192-009-0872-3

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