PURPOSE: Groin pain is one of the complications after TVT-O procedure. The aim was to examine the position and safety of the tape after TVT-O procedure. METHODS: We inserted TVT-O in 14 formalin-embalmed bodies with legs malpositioned (group 1) and in 5 fresh-frozen bodies with legs malpositioned (group 2) and in 5 fresh-frozen bodies with legs correctly positioned (group 3). After dissection distances from the branches of obturator nerve were measured. RESULTS: In group 1, the mean distance from the anterior branch of the obturator nerve was 8.6 mm on the left, 7.1 mm on the right. Mean distance from the posterior branch of the obturator nerve was 8.4 mm on the left, 8.9 mm on the right. In group 2, the mean distance from the anterior branch of the obturator nerve was 8.0 mm on the left, 8.0 mm on the right. Mean distance from the posterior branch of the obturator nerve was 5.0 mm on the left, 8.00 mm on the right. In group 3, the mean distance from the anterior branch of the obturator nerve was 24 mm on the left, 23 mm on the right. Mean distance from the posterior branch of the obturator nerve was 23 mm on the left, 23 mm on the right. Statistical analysis was performed with confirmation of significant difference between group of bodies with legs positioned correctly and other groups with malpositioned legs. CONCLUSIONS: The position of the legs is crucial for correct placement of TVT-O.

Department of Obstetrics and Gynaecology 1st Faculty of Medicine Charles University Prague Apolinarska 18 12000 Prague 2 Czech Republic

Citace poskytuje Crossref.org

Laparoscopic removal of intravesically inserted transobturator tape

What is the optimal length for single-incision tape?

TVT ABBREVO: cadaveric study of tape position in foramen obturatum and adductor region

Fixation of the Ajust minisling based upon cadaveric study

Variation of distances from mid-urethra to the obturator foramen: an MRI study