Tape functionality: Sonographic tape characteristics and outcome after TVT incontinence surgery

Kociszewski, Jacek; Rautenberg, Oliver; Perucchini, Daniele; Eberhard, Jakob; Geissbühler, Verena; Hilgers, Reinhard; Viereck, Volker

doi:10.1002/nau.20556

Cited by 97 publications

(158 citation statements)

References 20 publications

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“…Also, no comparison was performed between different approaches [1]. PFS-TV is one of the methods recently applied to urogynecology [17][18][19]. Recent clinical studies on PFS-TV have confirmed the adverse effect of the CI point hypomobility on SUI cure rate after implantation of suburethral tape [17][18][19].…”

Section: Discussionmentioning

confidence: 99%

“…As opposed to previous studies [17][18][19], our location of the internal urethral orifice is defined with two points; point CI is the more anterior edge of the internal urethral orifice, visualized in the ultrasound image as closer to the pubic symphysis. Point CII is the more posterior edge of the urethral internal orifice visualized more peripherally.…”

Section: Methodsmentioning

confidence: 99%

“…PFS-TV was performed introitally with standardized technique developed by Kociszewski [17,18] using a transvaginal probe of high-frequency (6.5 MHz, 160° beam angle Figure 1. Diagram of the internal urethral orifice sonographic parameters at rest and at Valsalva maneuver.…”

Section: Methodsmentioning

confidence: 99%

“…Recent studies show that pelvic floor sonography performed with 2D transvaginal probe (PFS-TV) may detect patients with reduced bladder neck mobility while such condition had a negative impact on the results of SUI surgery with suburethral tape implantation, even when the surgery was individually planned. In turn, patients with normomobile and hypermobile urethra detected with PFS--TV had a much higher chance of successful SUI correction, even if the tape was suboptimally placed [17][18][19]. However, the repeatability and reproducibility of the analysis of bladder neck mobility with PFS-TV has not been established yet.…”

Section: Introductionmentioning

confidence: 99%

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The analysis of repeatability and reproducibility of bladder neck mobility measurements obtained during pelvic floor sonography performed introitally with 2D transvaginal probe

Wlaźlak

Kluz²,

Kociszewski

et al. 2017

Ginekol Pol

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Objectives: The aim of the study was the evaluation of repeatability and reproducibility of chosen urethral neck mobility measurements obtained during introital pelvic floor sonography performed with a 2D transvaginal probe. Material and methods:In order to assess the repeatability and reproducibility, independent measurements on the ultrasound image were taken by two specialists on 92 female patients at rest and at strain (Valsalva maneuver). 2D ultrasound examination was performed introitally with a transvaginal probe (PFS-TV). The location of the urethral internal orifice was defined with coordinates of two points. Point CI marks the urethral anterior edge visualized on ultrasound as closer to the pubic symphysis. Point CII marks the posterior edge visualized more peripherally from pubic symphysis.Results: Repeatability and reproducibility measurements of point CI location and mobility were good and very good (0.6710-0.9961), while of point CII -were medium, good and very good (0.5738-0.9944). Point CI was clearly visible in all cases. It was not possible to accurately mark point CII in 4.3-17.4% of cases. Conclusions:The possibility to visualize point CI in every single case with very good and good repeatability and reproducibility of measurements of this point's location and mobility allows the usage of CI point as a universal reference point for evaluation of bladder neck mobility and position during PFS-TV in the clinical practice and for research purposes.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The analysis of repeatability and reproducibility of bladder neck mobility measurements obtained during pelvic floor sonography performed introitally with 2D transvaginal probe

Wlaźlak

Kluz²,

Kociszewski

et al. 2017

Ginekol Pol

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“…Malposition of MUS at the bladder neck has been associated with adverse outcomes in the literature (25)(26)(27). These reports describe an excessive proximal location of the urethral tape relative to the mid-urethra, and resulting in recurrent SUI post operatively.…”

Section: Cuaj -Original Researchmentioning

confidence: 99%

Bladder neck placement of a synthetic polypropylene sling for the treatment of stress urinary incontinence

McLoughlin

Gleeson

Francis

et al. 2018

CUAJ

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Introduction: Pubo-vaginal sling placed at the bladder neck has been the gold standard treatment for stress urinary incontinence (SUI). The synthetic midurethral sling (MUS) is now widely used, as morbidity rates with this technique are substantially reduced. This is an initial report on long-term outcomes of a polypropylene sling (PPS) placed in the traditional bladder neck location. Methods: A retrospective analysis of all patients who underwent PPS insertion at our institution between 2006 and 2014 was conducted. Patient and urodynamic demographics were recorded. Subjective and objective measures of success were determined by postoperative pad usage and validated incontinence questionnaires. Results: A total of 170 patients were followed for a median of four (range 1-8) years. The mean age was 51 (±10) years. Subjective response was assessed in 57% of patients; the overall subjective cure rate was 85.3% (n=145), subjective improvement rate was 4.1% (n=7), and the subjective failure rate was 10.6% (n=18). The mean Urogenital Distress Inventory (UDI)-6 score was 6.5 (±5.6) out of a maximum score of 24 and the Incontinence Impact Questionnaire (IIQ)-7 score was 5.5 (±6.3) out of a maximum score of 28. There was no significant difference in objective outcome measures in those with an ALPP 60 cmH 2 O. Conclusion: Bladder neck placement of a PPS resulted in cure rates of 85% in this series. SUI secondary to intrinsic sphincter deficiency (ISD) and urethral hypermobility were treated with equal success. Bladder neck PPS placement has a role in the treatment of SUI. Our data may well reassure rectus fascia sling (RFS) surgeons who wish to take advantage of faster postoperative recovery using the less invasive PPS placed at the bladder neck.

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Cost–utility of bariatric surgery for morbid obesity in Finland

Mäklin

Malmivaara

Linna

et al. 2011

British Journal of Surgery

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Tape functionality: Sonographic tape characteristics and outcome after TVT incontinence surgery

Abstract: TVT position relative to the patient's urethra seems to play a role in treatment outcome. Outcome was best in patients with dynamic change in tape shape during straining and location of the tape at the junction between the lower and middle urethra and at least 3 mm from the urethral lumen.

Cited by 97 publications

References 20 publications

The analysis of repeatability and reproducibility of bladder neck mobility measurements obtained during pelvic floor sonography performed introitally with 2D transvaginal probe

The analysis of repeatability and reproducibility of bladder neck mobility measurements obtained during pelvic floor sonography performed introitally with 2D transvaginal probe

Bladder neck placement of a synthetic polypropylene sling for the treatment of stress urinary incontinence

Cost–utility of bariatric surgery for morbid obesity in Finland

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