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Transobturator adjustable tape (TOA) in female stress urinary incontinence associated with low maximal urethral closure pressure

  • General Gynecology
  • Published:
Archives of Gynecology and Obstetrics Aims and scope Submit manuscript

Abstract

Purpose

To determine the success rate of transobturator adjustable tape (TOA, Agency for Medical Innovations, A.M.I., Austria) in stress urinary incontinent patients with maximal urethral closure pressure (MUCP) ≤20 cm H2O compared to those with MUCP >20 cm H2O.

Materials and methods

In this retrospective study, all female patients with a diagnosis of stress urinary incontinence underwent TOA, from September 2005 to August 2007. All patients had preoperative multichannel urodynamic tests (cystometry, urethral profile and uroflowmetry). During September 2008, patients were contacted by telephone and the validated short forms of the Urogenital Distress Inventory (UDI-6) questionnaire and the Incontinence Impact Questionnaire (IIQ-7) were administered.

Results

The chart review identified 146 patients (125 with MUCP >20 cm H2O and 21 with MUCP ≤20 cm H2O) who had undergone TOA and who met the inclusion criteria. Of these, 121 patients (82.9%) were contacted by telephone. Results showed a very good quality of life (score 0–7 in the IIQ-7) in 95.9% of patients. Only two (1.6%) patients had persistent significant urine leakage related to physical activity. In the MUCP ≤20 cm H2O group, 90% of patients could be considered as being very satisfied, with a very good quality of life.

Conclusion

With the TOA procedure, the obturator route could be used to treat patients with urinary incontinence and also with low MUCP.

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Authors and Affiliations

  1. Gynaecology and Obstetrics Department, University of Genoa, Genoa, Italy

    Sergio Costantini, Chiara Nadalini, Francesca Esposito, Franco Alessandri, Mario Menada Valenzano & Emanuela Mistrangelo

  2. Ospedale San Martino, Padiglione 1, Largo R Benzi 10, 16100, Genoa, Italy

    Emanuela Mistrangelo

Authors
  1. Sergio Costantini
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  2. Chiara Nadalini
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  3. Francesca Esposito
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  4. Franco Alessandri
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  5. Mario Menada Valenzano
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  6. Emanuela Mistrangelo
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Correspondence to Emanuela Mistrangelo.

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Costantini, S., Nadalini, C., Esposito, F. et al. Transobturator adjustable tape (TOA) in female stress urinary incontinence associated with low maximal urethral closure pressure. Arch Gynecol Obstet 282, 277–284 (2010). https://doi.org/10.1007/s00404-009-1257-z

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  • DOI: https://doi.org/10.1007/s00404-009-1257-z

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