Endovaginal Imaging of Vaginal Implants
Multicompartment ultrasound imaging of the pelvis, including 3D endovaginal imaging and 2D dynamic assessment, is evolving into a useful tool in the assessment of post-implant behavior including diagnosis and management of patients with complications related to synthetic vaginal implants. It can help to understand the in vivo functional behavior of slings following surgery and clarify the etiology of failure including the reason for voiding dysfunction. 3D ultrasound can be used to image synthetic and biologic grafts following implantation. In addition, outcomes following bulking agent injection for SUI are associated with the distribution of the injectable material around the urethra.
KeywordsMidurethral Sling Sling Surgery Biologic Graft Transobturator Sling American Medical System
- 3.Schuettoff S, Beyersdorff D, Gauruder-Burmester A, Tunn R. Visibility of the polypropylene tape after tension-free vaginal tape (TVT) procedure in women with stress urinary incontinence: comparison of introital ultrasound and magnetic resonance imaging in vitro and in patients. Ultrasound Obstet Gynecol. 2006;27(6):687–92.PubMedCrossRefGoogle Scholar
- 5.Halaska M, Otcenasek M, Martan A, Masata J, Voight R, Seifert M. Pelvic anatomy changes after TVT procedure assessed by MRI. Int Urogynecol J. 1999;10(S1):S87–8.Google Scholar
- 8.Hegde A, Smith AL, Aguilar VC, Davila GW. Three-dimensional endovaginal ultrasound examination following injection of Macroplastique for stress urinary incontinence: outcomes based on location and periurethral distribution of the bulking agent. Int Urogynecol J. 2013;24(7):1151–59.Google Scholar
- 11.Jijon A, Hegde A, Arias B, Aguilar V, Davila GW. An inelastic retropubic suburethral sling in women with intrinsic sphincter deficiency. Int Urogynecol J.; 2012 Dec 11 (Epub ahead of print).Google Scholar
- 15.Hegde A, Nogueiras M, Aguilar V, Davila GW. Correlation of static and dynamic location of the transobturator sling with outcomes as described by 3 dimensional endovaginal ultrasound. Abstract. 38th Annual meeting of the International Urogynecological Association, Dublin, Ireland; 2013, in press.Google Scholar
- 16.Bogusiewicz M, Stankiewicz A, Monist M, Wozniak M, Wiezoreck A, Rechberger T. Most of the patients with suburethral sling failure have tapes located outside the high-pressure zone of the urethra. Int Urogynecol J. 2012;23 Suppl 2:S68–9.Google Scholar
- 21.Hegde A, Nogueiras M, Aguilar V, Davila GW. Should a suburethral sling be suture-fixated in place at the time of implantation? Abstract. 38th annual meeting of the International Urogynecological Association, Dublin, Ireland; 2013, in press.Google Scholar
- 24.Hegde A, Nogueiras M, Aguilar V, Davila GW. Is there concordance in the location of the transobturator sling as determined by transperineal and endovaginal 3 dimensional ultrasound?: correlation with outcomes. Abstract. 38th annual meeting of the International Urogynecological Association, Dublin, Ireland; 2013, in press.Google Scholar
- 25.FDA Safety Communication. UPDATE on serious complications associated with transvaginal placement of surgical mesh for pelvic organ prolapse. Silver Spring, MD: Food and Drug Administration (US), Center for Devices and Radiological Health. Available at http://www.fda.gov/MedicalDevices/Safety/AlertsandNotices/ucm262435.htm. Accessed 13 July 2011.
- 28.Shek K, Dietz HP, Rane A. Transobturator mesh anchoring for the repair of large or recurrent cystocele. In: ICS annual scientific meeting, Christchurch, New Zealand. Abstract; 2006.Google Scholar
- 29.Hegde A, Aguilar VC, Davila GW. Non-cross-linked porcine dermis graft becomes completely integrated with host tissue over a period of 12 months. In: IUGA annual scientific meeting, Brisbane, Australia. Abstract; 2012.Google Scholar
- 34.Khullar V, Cardozo LD, Abbott D, Hillard T, Norman S, Bourne T. The mechanism of continence achieved with GAX collagen as determined by ultrasound (abstract). Neurourol Urodyn. 1993;78:439–40.Google Scholar