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 language | English |
---|---|
Pages (from-to) | 341-346 |
Number of pages | 6 |
Journal | International Urogynecology Journal |
Volume | 22 |
Issue number | 3 |
DOIs | |
Publication status | Published - 2011 Mar |
Externally published | Yes |
Bibliographical note
Funding Information:Acknowledgements This study was supported by the Samsung Medical Center Clinical Research Development Program grant, #CRS 104-11-2.
Keywords
- Adjustable vaginal tape
- Urinary incontinence
ASJC Scopus subject areas
- Obstetrics and Gynaecology
- Urology