Fondazione per gli Studi sulla Riproduzione Umana, Clinica Candela, Palermo, Italy.
Department of Woman, Child and General and Specialized Surgery, University of Campania "Luigi Vanvitelli", Naples, Italy.
Int J Gynaecol Obstet. 2023 Jan;160(1):214-219. doi: 10.1002/ijgo.14295. Epub 2022 Jun 14.
The purpose of this study was to evaluate the feasibility and accuracy of postoperative translabial ultrasound to assess the position of the tape implanted with the tension-free transobturator tape technique.
We enrolled women with clinically and urodynamically proven type I or II stress urinary incontinence who were referred for transobturator tape treatment.
A total of 50 women underwent a transobturator tape procedure and were included in the analysis. We divided the patients into two study groups (group A and group B), characterized by normal and obstructed flow at least 30 days after the surgical procedure visit, respectively. We performed a translabial ultrasound evaluation to assess the suburethral localization of the sling. On the longitudinal scan, the distance between the bladder neck and the suburethral sling was >10 mm in all patients in group A (16.7 ± 1.6). On the contrary, the values in group B were ≤10 mm (5.3 ± 4.8).
Our findings highlight the role of a skilled sonographic operator performing translabial ultrasound as a first-line method for evaluating postoperative transobturator tape procedure and sling positioning. Moreover, translabial ultrasound could be helpful to determine a "cutoff" of the bladder neck to sling distance, as this is related to the onset of the obstruction.
本研究旨在评估经阴道超声评估经闭孔无张力吊带术（TOT）植入吊带位置的可行性和准确性。
我们招募了经临床和尿动力学证实患有 I 型或 II 型压力性尿失禁且需要 TOT 治疗的女性。
共有 50 名女性接受了 TOT 手术，并纳入分析。我们将患者分为两组（A 组和 B 组），分别为术后至少 30 天排尿流量正常和梗阻的患者。我们进行经阴道超声评估以评估吊带的尿道下定位。在纵向扫描中，A 组所有患者的膀胱颈和尿道下吊带之间的距离均>10mm（16.7±1.6）。相反，B 组的数值均≤10mm（5.3±4.8）。
我们的研究结果强调了熟练的超声操作者进行经阴道超声作为评估经闭孔吊带术和吊带位置的一线方法的作用。此外，经阴道超声有助于确定膀胱颈到吊带的“截止”距离，因为这与梗阻的发生有关。
