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Int Urogynecol J Pelvic Floor Dysfunct. 2009 May;20(5):533-9. doi: 10.1007/s00192-009-0823-z. Epub 2009 Feb 14.

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

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

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.

PMID:
19219379
DOI:
10.1007/s00192-009-0823-z
[Indexed for MEDLINE]

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