Clinical application of 2D and 3D pelvic floor ultrasound of mid-urethral slings and vaginal wall mesh

Taithongchai, Annika; Sultan, Abdul H.; Wieczorek, Paweł; Thakar, Ranee

doi:10.1007/s00192-019-03973-2

Cited by 26 publications

(62 citation statements)

References 44 publications

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“…The methodology for performing the scans has previously been reported. 21 Mesh was determined by its characteristic honeycomb -like appearance ( This article is protected by copyright. All rights reserved.…”

Section: Methodsmentioning

confidence: 99%

“…20 Analysis of the 3D volume allows assessment of mesh morphology and the adjacent pelvic anatomy, providing patients and clinicians the opportunity to visualise the entire course of the pelvic floor mesh. 21 We hypothesise that MUS location can contribute to patient symptoms and therefore ultrasound is a useful adjunctive investigation when assessing women presenting with complications following mesh incontinence surgery. The objective is to present the characteristics of women attending a tertiary urogynaecology pelvic floor scan clinic and examine the association between 2D perineal and 3D endovaginal ultrasound findings and their symptoms.…”

Section: Introductionmentioning

confidence: 99%

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Association between 3D endovaginal and 2D perineal pelvic floor ultrasound findings and symptoms in women presenting with mid‐urethral sling complications

Taithongchai

Pandeva

Sultan

et al. 2021

Ultrasound in Obstet & Gyne

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This is a prospective cross-sectional description of pelvic floor ultrasound (US) findings in 311 women with complications after mid-urethral synthetic slings (MUS). The association between perineal and endovaginal ultrasound scan findings and patient symptoms in a cohort of women with complications after MUS has not been shown before. What are the clinical implications of this work? This study adds to the limited body of evidence for best practice in the assessment of complications after MUS. As recurrent urinary tract infection and voiding dysfunction appear to be related to tape location, care needs to be taken during MUS insertion to ensure correct placement.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Association between 3D endovaginal and 2D perineal pelvic floor ultrasound findings and symptoms in women presenting with mid‐urethral sling complications

Taithongchai

Pandeva

Sultan

et al. 2021

Ultrasound in Obstet & Gyne

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“…Transobturator tapes can be identified because the arms of the tape go lateral, in a ‘seagull’ shape, whilst retropubic transvaginal tapes gives a U-shaped image, with the arms travelling towards the pubic symphysis. 22 Some radiologists advocate that the arms of the mesh are difficult to identify because of a longer distance from the transducer, 23 and magnetic resonance imaging (MRI) could surpass ultrasound in this scenario.…”

Section: Diagnostic Pathway For Urinary Incontinence Mesh-related Commentioning

confidence: 99%

“…The typical appearance is that of a honeycomb structure (Figure 2), although with time, as fibrosis and scarring take place, it might lose this common arrangement. 22 Ultrasound gives information regarding mesh relation to the urethra and vaginal wall, 15 which could help determine the type of mesh placed in case of unknown tape insertion surgery details. Transobturator tapes can be identified because the arms of the tape go lateral, in a ‘seagull’ shape, whilst retropubic transvaginal tapes gives a U-shaped image, with the arms travelling towards the pubic symphysis.…”

Section: Diagnostic Pathway For Urinary Incontinence Mesh-related Commentioning

confidence: 99%

Mesh complications: best practice in diagnosis and treatment

Reyes

Hashim

2020

Therapeutic Advances in Urology

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Mesh was a promising, minimally invasive, and ‘gold standard’ treatment for urinary stress incontinence. Time has shown that complications from these devices can happen early, or even several years, after mesh placement and can be catastrophic. Pain, erosion, voiding dysfunction, infection, recurrent UTIs [urinary tract infections (UTIs)], fistulae, organ perforation, bleeding, vaginal scarring, neuromuscular alterations, LUTS (lower urinary tract symptoms), bowel complications and even immune disorders have been linked to mesh. Various tools, such as imaging, endoscopic and functional studies, are available for diagnosis of mesh complications. Since the spectrum of complications is wide, involvement of other specialties is usually beneficial in the diagnosis and management of these complications. There is still much to learn on the accuracy and utility of diagnostic studies in each type of complication. Evidence on the best diagnostic and treatment pathways for these complications is scarce but continuously growing as information is being reported, and we continue to gain expertise in dealing with patients affected by mesh. Treatment options include conservative and medical management initially and then open or minimally invasive surgical procedure approaches. This article will describe diagnostic and treatment pathways for mesh complications.

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“…Это важное дополнение к диагностическим мероприятиям, формирующим объективную картину заболевания (УЗИ, электромиография, МРТ) [6,7]. «Золотым стандартом» диагностики в настоящее время считается трансперинеальная сонография в режиме 3D, функциональные особенности которой позволяют оценить целостность структур тазового дна на том же уровне, что и МРТ, но при более низкой стоимости [8][9][10][11].…”

Section: Introductionunclassified

The Efficacy of Physical Therapy in Treatment of Pelvic Floor Distress in Women of Reproductive Age

Оразов¹,

Silantyeva²,

Soldatskaya³

et al. 2020

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Study Objective: To compare the efficacy of two physical therapy techniques in the treatment of pelvic floor distress (PFD). Study Design: This was a prospective, randomized, double-blind, controlled study. Materials and Methods: Health information about ninety-five women who had had vaginal delivery and suffered from PFD was reviewed in the study. In Group I (n = 50) patients were treated using high-intensity focused electromagnetic (HIFEM) technology, and in Group II (n = 45) electrical stimulation therapy was delivered via an intracavity sensor. Assessments in the study included physical examination, instrumental investigations, and a discussion with patients (completion of a questionnaire and a scale-based assessment). To establish reference values for the parameters used in the study, a control group was made up of 30 apparently healthy women who had had a vaginal delivery. Study Results: Ultrasound of the pelvic floor showed that in Groups I and II the anteroposterior diameter of the levator hiatus (LH) decreased by 3.12 mm and 1.16 mm, respectively (2.7-fold difference), and the transverse diameter of the LH decreased by 3.04 mm and 1.04 mm (2.9-fold difference). The area of the LH decreased by 1.38 cm2 in Group I and 0.08 cm2 in Group II. After treatment the mean Pelvic Floor Distress Inventory (PFDI-20) score was 1.9 times lower (p<0.001) in Group I and the number of women who reported a feeling of looseness in the vagina and urinary incontinence using a bimodal scale for complaint assessment was 1.5 and 1.9 times lower, respectively, than in Group II. Conclusion: Electromagnetic stimulation demonstrated higher efficacy than stimulation via an intracavitary sensor in the treatment of PFD. Keywords: pelvic floor distress, genital prolapse, high-intensity focused electromagnetic stimulation.

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Clinical application of 2D and 3D pelvic floor ultrasound of mid-urethral slings and vaginal wall mesh

Cited by 26 publications

References 44 publications

Association between 3D endovaginal and 2D perineal pelvic floor ultrasound findings and symptoms in women presenting with mid‐urethral sling complications

Association between 3D endovaginal and 2D perineal pelvic floor ultrasound findings and symptoms in women presenting with mid‐urethral sling complications

Mesh complications: best practice in diagnosis and treatment

The Efficacy of Physical Therapy in Treatment of Pelvic Floor Distress in Women of Reproductive Age

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