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Correlation between changes in ultrasound measurements and clinical curative effect of tension-free vaginal tape-SECUR* procedure

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Abstract

Introduction and hypothesis

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.

Methods

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.

Results

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.

Conclusions

The objective cure rate of TVT-S procedure is low irrespective of placement technique. This may be due to insufficient restriction of urethral mobility.

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Abbreviations

ICIQ-UI SF:

The International Consultation on Incontinence Questionnaire—Short Form

PDS:

poly-p-dioxanon

POP-Q:

pelvic organ prolapse quantitative

TOT:

tension-free obturator tape

SUI:

stress urinary incontinence

TVT:

tension-free vaginal tape

TVT-S:

tension-free vaginal tape-SECUR system

US:

ultrasound

UVJ:

urethrovesical junction

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Acknowledgment

This work was supported by the Grant Agency of the Ministry of Health of the Czech Republic, grant NR/9216-3

Disclosure

The first author is a TVT-SECUR preceptor for Ethicon Women’s Health and Urology.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, 1st Medical Faculty, Charles University and General Faculty Hospital, Prague, Czech Republic

    Alois Martan, Kamil Svabík, Jaromir Masata, Tomas Koleska & Rachid El-Haddad

  2. EuroMISE Centre, Institute of Computer Science of the Academy of Sciences, Prague, Czech Republic

    Marketa Pavlikova

Authors
  1. Alois Martan
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  2. Kamil Svabík
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  3. Jaromir Masata
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  4. Tomas Koleska
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  5. Rachid El-Haddad
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  6. Marketa Pavlikova
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Corresponding author

Correspondence to Alois Martan.

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Martan, A., Svabík, K., Masata, J. et al. Correlation between changes in ultrasound measurements and clinical curative effect of tension-free vaginal tape-SECUR* procedure. Int Urogynecol J 20, 533–539 (2009). https://doi.org/10.1007/s00192-009-0823-z

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  • DOI: https://doi.org/10.1007/s00192-009-0823-z

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