ArticleInternational urogynecology journal and pelvic floor dysfunction2009
Which placement of the tension-free vaginal tape is more important for urinary continence: midurethral position or bladder neck? Consideration from a case report.
Article in International urogynecology journal and pelvic floor dysfunction, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Ultrasound imaging in urogynecology - state of the art 2016.Przeglad menopauzalny = Menopause review · 2016Article
- Effectiveness of botulinum toxin injection in the treatment of de novo OAB symptoms following midurethral sling surgery.International urogynecology journal · 2016Observational
- Article
- Both the middle and distal sections of the urethra may be regarded as optimal targets for 'outside-in' transobturator tape placement.World journal of urology · 2014Article
- Anatomical variation of bony pelvis from the viewpoint of transobturator sling placement for stress urinary incontinence.International urogynecology journal · 2011Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The tension-free vaginal tape (TVT) is a well-established surgical procedure for the treatment of female urinary stress incontinence. Midurethral position was thought not to be necessary to achieve continence. But in our study, a patient with stress urinary incontinence was treated with a TVT suburethral sling. The symptoms of stress urinary incontinence still exist after the TVT procedure. With physical treatment and anti-inflammatory treatment, no relief was found. At the 50-day follow-up, the symptoms of stress incontinence worsened. Transperineal three-dimensional ultrasound revealed that the sling migrated from the midurethra to the bladder neck. With adjustment of the sling, the symptom of stress incontinence was improved and no complication was observed at the 6- and 12-month follow-up. Sling migration should be considered in a patient who presents with recurrent stress incontinence at the earlier postoperative period. We think that the midurethral position is necessary to achieve continence.
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