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

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. Qmax 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.

The Evolution of Surgical Treatment for Female Stress Urinary Incontinence: Era of Mid-Urethral Slings

“…The adjustable MUS has been shown to allow adjustment of tension for a number of days after surgical intervention, thus permitting correction of postoperative incontinence or obstruction [25]. Maroto et al performed the trans-obturator adjustable tape procedure in 77 patients [26].…”

Adjustable vs. ordinary transobturator tape for female stress incontinence. Is there a difference?

“…In the recent study [4] there were no intraoperative complications. In another study by Romero Maroto et al [12] there were no cases of bladder, urethral, bowel, nerve, or major vessel injury. In the present study there was a urethral injury in only one patient, and this might be attributed to a difficult dissection as the result of previous anti-incontinence surgery.…”

“…Fourteen patients (21%) had the tension released and 13 (20%) had the tape tightened. Also Romero Maroto et al [12] reported that after using transvaginal adjustable tape, ≈15% of patients still had incontinence, and voiding dysfunction was present in relatively many patients. After adjustment, all patients were rendered continent, and none had a PVR.…”

Adjustable Midurethral Slings in the Treatment of Female Stress Urinary Incontinence

“…Romero Maroto et al evaluated 64 women who sufered from SUI and underwent TVA prospectively [24]. Mean follow-up was 40 ± 13 months.…”

“…The tension was adjusted in 26 (40.6%) patients postoperatively; in 16 (25%), the tension was increased and in 10 (15.6%), the tension was decreased. After [24].…”