Anatomical study of position of the TVT-O to the obturator nerve influenced by the position of the legs during the procedure: based upon findings at formalin-embalmed and fresh-frozen bodies
Language English Country Germany Media print-electronic
Document type Journal Article, Research Support, Non-U.S. Gov't
- MeSH
- Leg MeSH
- Formaldehyde MeSH
- Cryopreservation MeSH
- Humans MeSH
- Cadaver MeSH
- Obturator Nerve anatomy & histology MeSH
- Urinary Incontinence, Stress surgery MeSH
- Suburethral Slings * MeSH
- Supine Position MeSH
- Urologic Surgical Procedures methods MeSH
- Treatment Outcome MeSH
- Check Tag
- Humans MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Research Support, Non-U.S. Gov't MeSH
- Names of Substances
- Formaldehyde MeSH
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.
References provided by 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
