The adjustable tension-free vaginal tape--obturator.

A 59-year-old woman presented with stress urinary incontinence, had adjustment of tension-free vaginal tape-obturator (TVT-O) performed using a method that does not require lateral dissection, after a failed TVT-O. Despite having TVT-O tape erosion, she has remained continent for a period of 24 months. The case demonstrates an effective and simple method of TVT-O tape readjustment.