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Correlation between changes in ultrasound measurements and clinical curative effect of tension-free vaginal tape-SECUR* procedure

International urogynecology journal and pelvic floor dysfunction. 2009 May ; 20 (5) : 533-9. [epub] 20090214

Int Urogynecol J Pelvic Floor Dysfunct
International urogynecology journal and pelvic floor dysfunction | Int Urogynecol J Pelvic Floor Dysfunct
Source

Language English Country Great Britain, England Media print-electronic

Document type Comparative Study, Journal Article, Research Support, Non-U.S. Gov't

Persistent link https://www.medvik.cz/link/pmid19219379

PubMed 19219379
DOI 10.1007/s00192-009-0823-z
Knihovny.cz E-resources

MeSH
Adult MeSH
Prosthesis Implantation methods MeSH
Middle Aged MeSH
Humans MeSH
Statistics, Nonparametric MeSH
Surveys and Questionnaires MeSH
Aged MeSH
Urinary Incontinence, Stress surgery MeSH
Suburethral Slings * MeSH
Ultrasonography MeSH
Urethra diagnostic imaging surgery MeSH
Treatment Outcome MeSH
Check Tag
Adult MeSH
Middle Aged MeSH
Humans MeSH
Aged MeSH
Female MeSH
Publication type
Journal Article MeSH
Research Support, Non-U.S. Gov't MeSH
Comparative Study MeSH

INTRODUCTION AND HYPOTHESIS: The hypotheses of this study were that the TVT-SECUR procedure restricts urethral mobility, which leads to a greater likelihood of curative effect, and that the restriction might change over time. METHODS: Analyses of the position of the urethra and the tape of 85 patients who underwent the TVT-S procedure were performed using perineal ultrasonography. The efficacy of the TVT-S procedure was evaluated by cough test and by the questionnaire ICIQ-UI SF. RESULTS: Objectively, 53/85 (62%) of patients had a negative cough test, and in 32/85 (38%) of patients leakage of urine persisted. The TVT-S procedure restricts urethral mobility, and a higher degree of obstruction is associated with a higher likelihood of cure. The restriction weakens within the first 3 months after surgery. CONCLUSIONS: The objective cure rate of TVT-S procedure is low irrespective of placement technique. This may be due to insufficient restriction of urethral mobility.

Department of Obstetrics and Gynecology 1st Medical Faculty Charles University and General Faculty Hospital Prague Czech Republic

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