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Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.
Original Research
Perineal ultrasound evaluation of urethral mobility after the TVT-O procedure
L. Di Pietto1, C. Scaffa1, A. Lambiase1, M. Torella1, C. Sciorio1, E. Dato1, A. Nocerino1, M.L. Di Petrillo1, R. Fusco1, M. Rotondi1,*, E.M. Messalli1, N. Colacurci1
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1
Department of Gynaecology, Obstetrics and Reproductive Medicine, Second University of Naples, Naples (Italy)
Clin. Exp. Obstet. Gynecol. 2010, 37(2), 131–134;
Published: 10 June 2010
Abstract
Aims: The aim of study was to assess, by means of perineal ultrasound (US), women treated with the trans-obturator suburethral sling procedure for urinary stress incontinence (USI). Methods: Twelve women with USI and urethral hypermobility were enrolled. Static and dynamic perineal US of urethral mobility was performed before and after tension-free vaginal tape opturator (TVT-O) procedure: US parameters evaluated were pubis-urethra distance and inclination angle of the urethral axis. Results: The Valsalva stress US evaluation showed a return to normal range of the pubic urethral distance in all cases (p = 0.0001); also a correction of the angle of inclination of the urethral axis occurred in all patients (p < 0.0001). Conclusions: Our results propose the use of perineal US for patients with USI as an additional diagnostic tool and a means for postsurgical follow-up.
Keywords
Perineal ultrasound
Urinary stress incontinence
TVT-O