IMR Press / CEOG / Volume 44 / Issue 6 / DOI: 10.12891/ceog3626.2017

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 46 Issue 1 (2019). 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.

Open Access Original Research
The size of posterior urethrovesical angle change affects the success of sling operations
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1 Department of Gynecology, Etlik Zubeyde Hanim Training and Research Hospital, Ankara, Turkey
2 Department of Obstetrics and Gynecology, Ankara Teaching and Research Hospital, Ankara, Turkey
3 Private Hospital, Istanbul, Turkey
Clin. Exp. Obstet. Gynecol. 2017, 44(6), 866–869; https://doi.org/10.12891/ceog3626.2017
Published: 10 December 2017
Abstract

Purpose: To analyze the effect of the size of posterior urethrovesical angle (PUVA) changes on the efficacy of surgical incontinence treatments. Materials and Methods: This study included 126 patients with stress urinary incontinence. The patients were randomized into transobturator tape (TOT) and retropubic sling (RPS) groups. Ultrasonographic PUVA measurements were taken at rest and during the Valsalva maneuver before and after the operation. The efficiency of the operation and the size of the changes in PUVA measurements in the TOT and RPS groups were analyzed. Results: There were 66 patients in the TOT group and 60 patients in the RPS group. In both groups, there were statistically significant differences between preoperative and postoperative PUVA values (p < 0.05). When all patients were analyzed, the objective cure rates in patients with changes of < 20° or > 20° were 65.9% and 87.8%, respectively (p = 0.009: OR: 3.52 (1.33–9.28). Conclusion: Intraoperative efforts to maintain a PUVA difference of more than > 20° may help to increase the surgical success of TOT and RPS operations.
Keywords
Retropubic
Sling
Transobturator
Urethrovesical angle
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