Transobturator adjustable tape for severe stress urinary incontinence and stress urinary incontinence with voiding dysfunction

Seo Yeon Lee, Young Suk Lee, Ha Na Lee, Myung Soo Choo, Jeong Gu Lee, Hyeong Gon Kim, Woo Jin Ko, Kyu Sung Lee

    Research output: Contribution to journalArticlepeer-review

    9 Citations (Scopus)

    Abstract

    Introduction and hypothesis: This prospective multicenter study was conducted to evaluate the efficacy and safety of an adjustable mid-urethral sling (MUS) using transobturator adjustable tape (TOA) in women with severe stress urinary incontinence or combined stress urinary incontinence (SUI) and voiding dysfunction (VD). Methods: One day after placement of TOA, the tension was adjusted. Six months after surgery, changes in several questionnaires and uroflowmetry (UFM) parameters were evaluated. Results: Among the 65 women enrolled in the study, 27 (41.5%) required postoperative tension readjustments. At 6 months, the complete cure rate of SUI was 84.4%, and patient satisfaction with the operation was 86.2%. There was improvement in the total scores on several questionnaires. There were no significant changes in postoperative UFM parameters. Conclusion: Our results support the use of TOA as an effective modality for the treatment of SUI in women at risk for persistent postoperative SUI or obstructive symptoms.

    Original languageEnglish
    Pages (from-to)341-346
    Number of pages6
    JournalInternational Urogynecology Journal
    Volume22
    Issue number3
    DOIs
    Publication statusPublished - 2011 Mar

    Keywords

    • Adjustable vaginal tape
    • Urinary incontinence

    ASJC Scopus subject areas

    • Obstetrics and Gynaecology
    • Urology

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