Ultrasonographic and urodynamic evaluation after tension free vagina tape procedure (TVT)

Lo, Tsia‐Shu; Wang, Alex C.; Horng, Shang‐Gwo; Liang, Ching‐Chung; Soong, Yung‐Kuei

doi:10.1080/791201837

Cited by 131 publications

(102 citation statements)

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“…This has been seen following the operation of TVT where a prolene tape is inserted at the mid-urethra. Bladder neck mobility remains unchanged following this operation despite restoration of continence 32 . It is possible that pelvic floor contraction could act in a similar way.…”

Section: Bladder Neck Mobilitymentioning

confidence: 92%

Prevention of postpartum stress incontinence in primigravidae with increased bladder neck mobility: a randomised controlled trial of antenatal pelvic floor exercises

Reilly

Freeman

Waterfield

et al. 2014

BJOG

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There is good evidence that postnatal pelvic floor exercises are effective in the treatment of postpartum stress incontinence 7,13,14 . Few studies exist using antenatal pelvic floor exercises 15,16 despite the possibility that these might be effective in preventing postnatal stress incontinence 5 . The aim of this study was to assess the effect of supervised antenatal pelvic floor exercises in the prevention of postpartum stress incontinence in this at risk group with bladder neck mobility. A randomised, controlled trial was carried out on primigravidae with bladder neck mobility as previously defined 12 . Local ethical approval was granted. Written, fully informed consent was obtained from all participants. METHODSAll primigravidae attending the antenatal clinic of a NHS Trust Hospital with 4500 deliveries per year were invited to have a perineal ultrasound scan to measure bladder neck mobility at approximately 20 weeks of gestation. Measurement of bladder neck mobility was as previously described 12,17 . The women were positioned sitting upright with their feet in stirrups. Using an ultrasound scanner (Pie Medical Scanner 100, Maastricht, The Netherlands) with a 5MHz curvilinear probe, images were taken at rest and with a standardised Valsalva manoeuvre. As in the previous study 12 , the women were asked to blow into a modified sphygmomanometer to a pressure of 30mmHg, which corresponds to approximately 40cm H 2 O. Those with a bladder neck mobility of more than 5mm on linear movement following standardised valsalva were invited to take part in the study. For a sample of the patients repeat measurements were made on each of these patients by the same observer and by a separate observer to obtain measures of intra and inter-observer error. Exclusion criteria were any pre-pregnancy urinary incontinence or neurological disorder.Patients were then randomised to either supervised pelvic floor exercises with a physiotherapist (F.P.) during the antenatal period, or to a control group. A separate sample of 20 subjects was used to obtain measures of reproducibility for bladder neck mobility measurements.

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Section: Bladder Neck Mobilitymentioning

confidence: 92%

Prevention of postpartum stress incontinence in primigravidae with increased bladder neck mobility: a randomised controlled trial of antenatal pelvic floor exercises

Reilly

Freeman

Waterfield

et al. 2014

BJOG

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show abstract

“…[2][3][4][5] US studies have shown that the TVT procedure neither changes hypermobility nor elevates the bladder neck. 6 TVT insertion is supposed to be a midurethral procedure; however postoperative US shows that position and mobility of the TVT relative to bladder neck vary markedly, according to Dietz et al 7 with relatively little effect on success and symptoms.…”

Section: Introductionmentioning

confidence: 97%

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

Kociszewski

Rautenberg

Perucchini

et al. 2008

Neurourology and Urodynamics

135

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“…15,16 These studies however reported changes in dynamic UPP parameters with increased cough pressure transmission ratios most marked at the level of the proximal urethra after colposuspension and at the midurethra after MUT insertion as a result of urethral ''kinking'' occurring only at the time of increased intra-abdominal pressure. URP measurements obtained when the urethra is at rest are therefore unlikely to differ pre and postoperatively unless the tape is excessively tensioned.…”

Section: Discussionmentioning

confidence: 93%

Urethral retro‐resistance pressure: Association with established measures of incontinence severity and change after midurethral tape insertion

Roderick

Moran

Mayne

et al. 2008

Neurourology and Urodynamics

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Ultrasonographic and urodynamic evaluation after tension free vagina tape procedure (TVT)

Cited by 131 publications

References 0 publications

Prevention of postpartum stress incontinence in primigravidae with increased bladder neck mobility: a randomised controlled trial of antenatal pelvic floor exercises

Prevention of postpartum stress incontinence in primigravidae with increased bladder neck mobility: a randomised controlled trial of antenatal pelvic floor exercises

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

Urethral retro‐resistance pressure: Association with established measures of incontinence severity and change after midurethral tape insertion

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