system
Medical AI Inquiry: You was designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.  Labels: OBJECTIVE, METHODS, RESULTS. Meshes: Aged, Equipment Design, Female, Follow-Up Studies, Gynecologic Surgical Procedures, Health Surveys, Humans, Incidence, Middle Aged, Patient Satisfaction, Postoperative Care, Quality of Life, Suburethral Slings, Treatment Outcome, Urinary Incontinence, Stress.
user
Does transobturator adjustable tape ( TOA ) permit to correct postoperatively the tension applied in stress incontinence surgery? Context: 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. 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. 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.
assistant
Our data demonstrate that the TOA allows postoperative adjustment of tension thus permitting correction of postoperative incontinence or obstruction. Final Decision: yes