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Translabial ultrasound evaluation after tension‐free transobturator tape technique: Outcomes based on the tape's position

OBJECTIVE: The purpose of this study was to evaluate the feasibility and accuracy of postoperative translabial ultrasound to assess the position of the tape implanted with the tension‐free transobturator tape technique. METHODS: We enrolled women with clinically and urodynamically proven type I or I...

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Autores principales: Gugliotta, Giorgio, Schiattarella, Antonio, Giunta, Margherita, De Franciscis, Pasquale, Polito, Salvatore, Calagna, Gloria
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10084178/
https://www.ncbi.nlm.nih.gov/pubmed/35656763
http://dx.doi.org/10.1002/ijgo.14295
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author Gugliotta, Giorgio
Schiattarella, Antonio
Giunta, Margherita
De Franciscis, Pasquale
Polito, Salvatore
Calagna, Gloria
author_facet Gugliotta, Giorgio
Schiattarella, Antonio
Giunta, Margherita
De Franciscis, Pasquale
Polito, Salvatore
Calagna, Gloria
author_sort Gugliotta, Giorgio
collection PubMed
description OBJECTIVE: The purpose of this study was to evaluate the feasibility and accuracy of postoperative translabial ultrasound to assess the position of the tape implanted with the tension‐free transobturator tape technique. METHODS: We enrolled women with clinically and urodynamically proven type I or II stress urinary incontinence who were referred for transobturator tape treatment. RESULTS: A total of 50 women underwent a transobturator tape procedure and were included in the analysis. We divided the patients into two study groups (group A and group B), characterized by normal and obstructed flow at least 30 days after the surgical procedure visit, respectively. We performed a translabial ultrasound evaluation to assess the suburethral localization of the sling. On the longitudinal scan, the distance between the bladder neck and the suburethral sling was >10 mm in all patients in group A (16.7 ± 1.6). On the contrary, the values in group B were ≤10 mm (5.3 ± 4.8). CONCLUSION: Our findings highlight the role of a skilled sonographic operator performing translabial ultrasound as a first‐line method for evaluating postoperative transobturator tape procedure and sling positioning. Moreover, translabial ultrasound could be helpful to determine a “cutoff” of the bladder neck to sling distance, as this is related to the onset of the obstruction.
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spelling pubmed-100841782023-04-11 Translabial ultrasound evaluation after tension‐free transobturator tape technique: Outcomes based on the tape's position Gugliotta, Giorgio Schiattarella, Antonio Giunta, Margherita De Franciscis, Pasquale Polito, Salvatore Calagna, Gloria Int J Gynaecol Obstet Clinical Articles OBJECTIVE: The purpose of this study was to evaluate the feasibility and accuracy of postoperative translabial ultrasound to assess the position of the tape implanted with the tension‐free transobturator tape technique. METHODS: We enrolled women with clinically and urodynamically proven type I or II stress urinary incontinence who were referred for transobturator tape treatment. RESULTS: A total of 50 women underwent a transobturator tape procedure and were included in the analysis. We divided the patients into two study groups (group A and group B), characterized by normal and obstructed flow at least 30 days after the surgical procedure visit, respectively. We performed a translabial ultrasound evaluation to assess the suburethral localization of the sling. On the longitudinal scan, the distance between the bladder neck and the suburethral sling was >10 mm in all patients in group A (16.7 ± 1.6). On the contrary, the values in group B were ≤10 mm (5.3 ± 4.8). CONCLUSION: Our findings highlight the role of a skilled sonographic operator performing translabial ultrasound as a first‐line method for evaluating postoperative transobturator tape procedure and sling positioning. Moreover, translabial ultrasound could be helpful to determine a “cutoff” of the bladder neck to sling distance, as this is related to the onset of the obstruction. John Wiley and Sons Inc. 2022-06-14 2023-01 /pmc/articles/PMC10084178/ /pubmed/35656763 http://dx.doi.org/10.1002/ijgo.14295 Text en © 2022 The Authors. International Journal of Gynecology & Obstetrics published by John Wiley & Sons Ltd on behalf of International Federation of Gynecology and Obstetrics. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Clinical Articles
Gugliotta, Giorgio
Schiattarella, Antonio
Giunta, Margherita
De Franciscis, Pasquale
Polito, Salvatore
Calagna, Gloria
Translabial ultrasound evaluation after tension‐free transobturator tape technique: Outcomes based on the tape's position
title Translabial ultrasound evaluation after tension‐free transobturator tape technique: Outcomes based on the tape's position
title_full Translabial ultrasound evaluation after tension‐free transobturator tape technique: Outcomes based on the tape's position
title_fullStr Translabial ultrasound evaluation after tension‐free transobturator tape technique: Outcomes based on the tape's position
title_full_unstemmed Translabial ultrasound evaluation after tension‐free transobturator tape technique: Outcomes based on the tape's position
title_short Translabial ultrasound evaluation after tension‐free transobturator tape technique: Outcomes based on the tape's position
title_sort translabial ultrasound evaluation after tension‐free transobturator tape technique: outcomes based on the tape's position
topic Clinical Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10084178/
https://www.ncbi.nlm.nih.gov/pubmed/35656763
http://dx.doi.org/10.1002/ijgo.14295
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