2003
DOI: 10.1007/s00192-003-1103-y
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How does tension-free vaginal tape correct stress incontinence? Investigation by perineal ultrasound

Abstract: Forty patients who underwent a single tension-free vaginal tape procedure were evaluated by perineal ultrasound both pre- and postoperatively in a prospective observational clinical study. The positions of the tape, bladder neck and urethra were sonographically documented at rest and during Valsalva maneuvers. During Valsalva the tape rotated towards the symphysis in all patients. Postoperative urethral angulation could be demonstrated in 36 of 40 patients. Bladder neck mobility remained unchanged after the te… Show more

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Cited by 56 publications
(44 citation statements)
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“…The transducer was placed on the perineal area in a sagittal orientation, to obtain images of the pubic symphysis, bladder, bladder neck and urethra (13,16). Ultrasound assessment of the male bladder is best achieved when the urine volume is at least 300 mL.…”
Section: Methodsmentioning
confidence: 99%
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“…The transducer was placed on the perineal area in a sagittal orientation, to obtain images of the pubic symphysis, bladder, bladder neck and urethra (13,16). Ultrasound assessment of the male bladder is best achieved when the urine volume is at least 300 mL.…”
Section: Methodsmentioning
confidence: 99%
“…If a subject -particularly in the incontinent group -was unable to maintain this volume, an infusion of 0.9% normal saline via Foley catheter was performed. The catheter was promptly removed before measurements were obtained (8,16).…”
Section: Methodsmentioning
confidence: 99%
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“…W swym badaniu Tsia-Shu i inni nie odnotowali różnicy w ruchomości szyi pęcherza moczowego przed operacją i po zabiegu [11]. Podobnie Sarlos i Schaer nie odnotowali zmniejszenia ruchomości cewki moczowej i szyi pęcherza moczowego, a efekt działania taśmy wiązali z zagięciem cewki moczowej i zbliżaniem się taśmy do spojenia łonowego [12]. Jednak w obydwu tych przypadkach autorzy badali zmianę anatomii po operacji taśm zakładanych załonowo (TVT) w przeciwieństwie do niniejszej pracy (91% pacjentek miało wykonaną operację przezzasłonowo [TOT]).…”
Section: Dyskusjaunclassified