Sonographic sling position and cure rate 10-years after TVT- O procedure
| العنوان: | Sonographic sling position and cure rate 10-years after TVT- O procedure |
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| المؤلفون: | Vesna Bjelic-Radisic, Susanne Hölbfer, T Aigmüller, Gerda Trutnovsky, Karl Tamussino, Daniela Ulrich, Ayman Tamma |
| المصدر: | PLoS ONE, Vol 14, Iss 1, p e0209668 (2019) PLoS ONE |
| بيانات النشر: | Public Library of Science (PLoS), 2019. |
| سنة النشر: | 2019 |
| مصطلحات موضوعية: | 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 |
| الوصف: | 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. |
| اللغة: | English |
| تدمد: | 1932-6203 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::0a6a17e35563ae98699874a1b23830c1 https://doaj.org/article/c6e65ec4f3144058982697ce134c21c4 |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....0a6a17e35563ae98699874a1b23830c1 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19326203 |
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