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Sonographic sling position and cure rate 10-years after TVT- O procedure
- Source :
- PLoS ONE, Vol 14, Iss 1, p e0209668 (2019), PLoS ONE
- Publication Year :
- 2019
- Publisher :
- Public Library of Science (PLoS), 2019.
-
Abstract
- AimTo examine the position of the TVT-O sling 10 years postoperatively and its association with outcome.MethodsA total of 124 patients who received a TVT-O sling at two centers in 2004 and 2007 were invited for follow-up. The position of the sling on perineal ultrasound was described relative to the bladder neck and the lower margin of the pubic symphysis at rest and on Valsalva. Objective cure was defined as a negative cough stress test at 300 ml. Subjective cure was evaluated with the Kings´ Health Questionnaire (KHQ), Incontinence Outcome Questionnaire (IOQ), Female Sexual Function Index Questionnaire (FSFI) and the Patient Global Impression of Improvement score (PGII).Results78 of 124 patients (57%) were available for follow-up 10 years after surgery. I Eleven (14%) had undergone reoperation and were excluded. Tapes were visualized in the remaining 67 (54%) women. The subjective and objective cure rates in this sub-cohort were 67% (45/67) and 77% (52/67), respectively. In these 67 women the mean distances from the bladder neck to the proximal edge of the tape (BNTD) during Valsalva maneuver were significantly higher in cured women compared to the not-cured women (11.2 vs. 9.4mm). The distance between tape and urethra (TUD) was significantly lower in cured vs. not cured patients (2.6 vs. 4.1mm). All women with a TUD of >5mm (n = 5) were incontinent. Tape position was not associated with overactive bladder symptoms.ConclusionsTape position near the bladder neck and large distance to the urethra is associated with incontinence 10 years after TVT-O.
- Subjects :
- Cure rate
Sling (implant)
Physiology
Urinary Incontinence, Stress
medicine.medical_treatment
Urinary incontinence
Pathology and Laboratory Medicine
Global Health
Diagnostic Radiology
Surveys and Questionnaires
Ultrasound Imaging
Medicine and Health Sciences
Coughing
Valsalva maneuver
Public and Occupational Health
Musculoskeletal System
Ultrasonography
Multidisciplinary
Radiology and Imaging
Gynecologic Surgery
Middle Aged
Treatment Outcome
medicine.anatomical_structure
Overactive bladder
Medicine
Female
Anatomy
medicine.symptom
Research Article
medicine.medical_specialty
Imaging Techniques
Bladder
Urology
Science
Surgical and Invasive Medical Procedures
Pubic symphysis
Research and Analysis Methods
Signs and Symptoms
Urethra
Diagnostic Medicine
Symphyses
medicine
Humans
Aged
Incontinence
Suburethral Slings
business.industry
Biology and Life Sciences
Correction
Renal System
medicine.disease
Surgery
Urodynamics
Neck of urinary bladder
Physiological Processes
business
Follow-Up Studies
Subjects
Details
- Language :
- English
- ISSN :
- 19326203
- Volume :
- 14
- Issue :
- 1
- Database :
- OpenAIRE
- Journal :
- PLoS ONE
- Accession number :
- edsair.doi.dedup.....0a6a17e35563ae98699874a1b23830c1