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Sonographic appearance of transobturator slings: implications for function and dysfunction

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Abstract

Introduction and hypothesis

The aim of this study was to determine associations between the ultrasonic appearance of Monarc suburethral slings and postoperative bladder symptoms at an average follow-up time of 11 months.

Methods

A prospective clinical audit was conducted on 98 patients after Monarc suburethral sling. The assessment included pelvic floor ultrasound to determine the gap between the sling and symphysis pubis, the angle formed by cranial and caudal ends of the sling at rest and on Valsalva, and the location of the sling relative to the urethra.

Results

Patients who reported postoperative stress incontinence (SI) or urge incontinence (UI) had a significantly wider gap between the symphysis pubis and sling (P = 0.032 and P = 0.006, respectively).

Conclusions

A narrower gap between the tape and symphysis pubis is associated with both SI and UI cure. Tighter transobturator sling placement seems to be advantageous for the cure of both SI and UI.

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Conflicts of interest

HP Dietz has acted as a consultant for AMS and CCS and has accepted speaker’s fees from GE, AMS, and Astellas. He has also benefited from equipment loans provided by GE, Bruel and Kjaer, and Toshiba.

V Chantarasorn and KL Shek have none to disclose.

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Authors and Affiliations

  1. Sydney Medical School Nepean, University of Sydney Nepean Hospital, Penrith, NSW, 2750, Australia

    Varisara Chantarasorn, Ka Lai Shek & Hans Peter Dietz

  2. 12 Soi Boonchusri, Dindang Road, Bangkok, 10400, Thailand

    Varisara Chantarasorn

Authors
  1. Varisara Chantarasorn
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  2. Ka Lai Shek
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  3. Hans Peter Dietz
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Corresponding author

Correspondence to Varisara Chantarasorn.

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Chantarasorn, V., Shek, K.L. & Dietz, H.P. Sonographic appearance of transobturator slings: implications for function and dysfunction. Int Urogynecol J 22, 493–498 (2011). https://doi.org/10.1007/s00192-010-1306-y

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  • DOI: https://doi.org/10.1007/s00192-010-1306-y

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