Correlation between changes in ultrasound measurements and clinical curative effect of tension-free vaginal tape-SECUR* procedure
| Autor: | Tomas Koleska, Kamil Svabik, Marketa Pavlikova, Rachid El-Haddad, Alois Martan, Jaromir Masata |
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| Rok vydání: | 2009 |
| Předmět: |
Adult
Change over time medicine.medical_specialty Urinary Incontinence Stress Urology Statistics Nonparametric Prosthesis Implantation Urethra Surveys and Questionnaires Humans Medicine Transperineal ultrasound Aged Ultrasonography Curative effect Suburethral Slings business.industry Ultrasound Tension free vaginal tape Obstetrics and Gynecology Middle Aged Surgery Treatment Outcome Female sense organs business |
| Zdroj: | International Urogynecology Journal. 20:533-539 |
| ISSN: | 1433-3023 0937-3462 |
| DOI: | 10.1007/s00192-009-0823-z |
| Popis: | 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.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.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.The objective cure rate of TVT-S procedure is low irrespective of placement technique. This may be due to insufficient restriction of urethral mobility. |
| Databáze: | OpenAIRE |
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