PMID- 16700210
OWN - NLM
STAT- MEDLINE
DCOM- 20060816
LR  - 20190917
IS  - 0210-4806 (Print)
IS  - 0210-4806 (Linking)
VI  - 30
IP  - 2
DP  - 2006 Feb
TI  - [TVA and TOA. New adjustable mesh for the treatment of female stress 
      incontinence. Preliminaries results].
PG  - 186-94
AB  - OBJECTIVES: Evaluation of a new mesh for incontinence (TVA/TOA) which enables the 
      degree of tension applied during surgery to be readjusted at the post-operative 
      stage. PATIENTS AND METHOD: 62 patients treated with the TVA mesh and monitored 
      over a 14-month period (SD 7.8, range 6-38). In 33 patients (53%) some other 
      pelvic prolapse was corrected. Evaluation was carried out by clinical report, 
      examination of bladder full of 250 saline solution, flowmetry and urinary 
      residue. 40 patients filled in 4 quality of life questionnaires (QoL; ICIQ-SF; 
      PGI-S; PGI-I). RESULTS: 42 patients were found to be objectively continent in the 
      post-operative evaluation. Of these, it was necessary to reduce tension in 7 
      cases (11%) due to urinary obstruction (flow < 10 ml/sec and/or residue). The 
      tension of the mesh was tightened in 20 patients (32%) due to continue with a 
      certain degree of incontinence. All patients were discharged as continent and 
      with no residue. In the last revision, 58 patients (93%) proved to be objectively 
      continent and 4 (6.5%) showed a notable improvement in their incontinence. The 
      Q(MAX) is 19.8 ml/sec (SD 9.8). The mictional urgency had disappeared or improved 
      in 32 of the patients who had this prior to operation (76%) and had appeared in 3 
      of the patients who didn't (15%). The clinical report showed a high level of 
      consensus with the ICIQ-SF survey (Kappa = 0.89) regarding stress incontinence, 
      diminishing clearly (Kappa= 0.13) when urge incontinence was taken into account. 
      34 (85%) patients scored over 95 out of 110 in the QoL. 30 (75%) scored less than 
      6 in ICIQ-SF. 32 (80%) showed a perception of normality and 4 (10%) slight 
      illness in the PGI-S. In the PGI-I 29 (72.5%) were much better and 11 (27.5%) 
      quite a lot better. A relation exists between urgency and dismissed quality of 
      life. CONCLUSION: With the TVA (trans-vaginal adjustable) mesh it is possible to 
      adjust the tension originally applied during surgery at the post-operative stage, 
      so that any defects or excesses can be corrected.
FAU - Romero Maroto, J
AU  - Romero Maroto J
AD  - Servicio de Urologia, Hospital Universitario San Juan de Alicante. 
      romero_jes@gva.es
FAU - Ortiz Gorraiz, M
AU  - Ortiz Gorraiz M
FAU - Prieto Chaparro, L
AU  - Prieto Chaparro L
FAU - Lopez Lopez, C
AU  - Lopez Lopez C
FAU - Quilez Fenoll, J M
AU  - Quilez Fenoll JM
FAU - Rodriguez Fernandez, E
AU  - Rodriguez Fernandez E
FAU - Pacheco Bru, J J
AU  - Pacheco Bru JJ
LA  - spa
PT  - English Abstract
PT  - Journal Article
TT  - TVA y TOA. Nuevas mallas ajustables de tension en el tratamiento de la 
      incontinencia urinaria de esfuerzo. Resultados preliminares.
PL  - Spain
TA  - Actas Urol Esp
JT  - Actas urologicas espanolas
JID - 7704993
SB  - IM
MH  - Adult
MH  - Aged
MH  - Female
MH  - Humans
MH  - Middle Aged
MH  - Prosthesis Design
MH  - *Surgical Mesh
MH  - Urinary Incontinence, Stress/*surgery
EDAT- 2006/05/17 09:00
MHDA- 2006/08/17 09:00
CRDT- 2006/05/17 09:00
PHST- 2006/05/17 09:00 [pubmed]
PHST- 2006/08/17 09:00 [medline]
PHST- 2006/05/17 09:00 [entrez]
AID - S0210-4806(06)73422-2 [pii]
AID - 10.1016/s0210-4806(06)73422-2 [doi]
PST - ppublish
SO  - Actas Urol Esp. 2006 Feb;30(2):186-94. doi: 10.1016/s0210-4806(06)73422-2.