Both the middle and distal sections of the urethra may be regarded as optimal targets for ‘outside-in’ transobturator tape placement
Purpose To investigate whether the position of the tape under the urethra may influence ‘outside-in’ transobturator sling (TOT) outcome. Methods The study comprised 141 women who underwent TOT for clinically and urodynamically proved stress urinary incontinence. The postoperative ultrasound examinat...
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| Veröffentlicht in: | World journal of urology 2014-12, Vol.32 (6), p.1605-1611 |
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| container_title | World journal of urology |
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| creator | Bogusiewicz, Michał Monist, Marta Gałczyński, Krzysztof Woźniak, Magdalena Wieczorek, Andrzej P. Rechberger, Tomasz |
| description | Purpose
To investigate whether the position of the tape under the urethra may influence ‘outside-in’ transobturator sling (TOT) outcome.
Methods
The study comprised 141 women who underwent TOT for clinically and urodynamically proved stress urinary incontinence. The postoperative ultrasound examination with an endovaginal biplane probe was performed before discharging the patients from hospital. The measurements obtained described the position of the tape relative to the urethra and pubic symphysis, as well as anatomical relationships in the anterior compartment.
Results
Ninety-six (68.1 %) patients were cured, 27 (19.1 %) significantly improved, and in 18 cases (12.7 %), the surgery failed. The tape position under the midurethra (40–70th percentile of the urethral length) or distal urethra (>70th percentile) coincided with better results (cure rate 67.1 and 82.4 %, respectively) than the location in the proximity of the bladder neck ( |
| doi_str_mv | 10.1007/s00345-014-1261-1 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_4236631</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3499999991</sourcerecordid><originalsourceid>FETCH-LOGICAL-c540t-3016fb007f7b1f28c361d8c89a031cfb95b9666642596206095374552f5fc6c63</originalsourceid><addsrcrecordid>eNp1kc1u1DAUhS0EosPAA7BBltiwMfg_yQYJKv6kSmxgbTn29UyqJA62U6m7LnkEeL0-CR6mVAUJb7w43z3nXh2EnjL6klHavMqUCqkIZZIwrhlh99CGSSFI23B9H21owyWRXStO0KOczylljabqITrhUgnWNt0GfX8byx6XPeBp8H4EbGeP_ZCLHXEGV4Y4ZxzDb2JNUPbJ4sle4h5wgp1NHjy2lVjKMNWRYtMOSsYhJnx99SOuJQ8eyDBfX_3EJdk5x76syZaqF7sAXkbrYIK5PEYPgh0zPLn5t-jr-3dfTj-Ss88fPp2-OSNOSVqIoEyHvh4fmp4F3jqhmW9d21kqmAt9p_pO1ye56jSnmnZKNFIpHlRw2mmxRa-PvsvaT-BdjU52NEuq-6dLE-1g_lbmYW928cJILrQWrBq8uDFI8dsKuZhpyA7G0c4Q12yY5g2tkbqp6PN_0PO4prmed6BUy1RXXbeIHSmXYs4Jwu0yjJpDz-bYs6k9m0PP5rDEs7tX3E78KbYC_AjkKs07SHei_-v6C4gytkE</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1625815942</pqid></control><display><type>article</type><title>Both the middle and distal sections of the urethra may be regarded as optimal targets for ‘outside-in’ transobturator tape placement</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Bogusiewicz, Michał ; Monist, Marta ; Gałczyński, Krzysztof ; Woźniak, Magdalena ; Wieczorek, Andrzej P. ; Rechberger, Tomasz</creator><creatorcontrib>Bogusiewicz, Michał ; Monist, Marta ; Gałczyński, Krzysztof ; Woźniak, Magdalena ; Wieczorek, Andrzej P. ; Rechberger, Tomasz</creatorcontrib><description>Purpose
To investigate whether the position of the tape under the urethra may influence ‘outside-in’ transobturator sling (TOT) outcome.
Methods
The study comprised 141 women who underwent TOT for clinically and urodynamically proved stress urinary incontinence. The postoperative ultrasound examination with an endovaginal biplane probe was performed before discharging the patients from hospital. The measurements obtained described the position of the tape relative to the urethra and pubic symphysis, as well as anatomical relationships in the anterior compartment.
Results
Ninety-six (68.1 %) patients were cured, 27 (19.1 %) significantly improved, and in 18 cases (12.7 %), the surgery failed. The tape position under the midurethra (40–70th percentile of the urethral length) or distal urethra (>70th percentile) coincided with better results (cure rate 67.1 and 82.4 %, respectively) than the location in the proximity of the bladder neck (<40th percentile) (21.4 % cured,
p
= 0.0015 and
p
< 0.001, respectively). However, the risk of failure was the lowest when the tape was located under the distal urethra. Other ultrasonographic findings were not related to treatment results.
Conclusions
The highest failure rate for ‘outside-in’ TOT is associated with the location of the tape under the proximal third of the urethra. Both the middle and distal sections of the urethra may be regarded as targets for transobturator tape placement.</description><identifier>ISSN: 0724-4983</identifier><identifier>EISSN: 1433-8726</identifier><identifier>DOI: 10.1007/s00345-014-1261-1</identifier><identifier>PMID: 24531879</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Body Mass Index ; Cohort Studies ; Female ; Humans ; Medicine ; Medicine & Public Health ; Middle Aged ; Nephrology ; Oncology ; Original ; Original Article ; Prosthesis Implantation ; Risk Factors ; Suburethral Slings ; Treatment Failure ; Ultrasonography ; Urethra - diagnostic imaging ; Urethra - surgery ; Urinary Incontinence, Stress - surgery ; Urology</subject><ispartof>World journal of urology, 2014-12, Vol.32 (6), p.1605-1611</ispartof><rights>The Author(s) 2014</rights><rights>Springer-Verlag Berlin Heidelberg 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c540t-3016fb007f7b1f28c361d8c89a031cfb95b9666642596206095374552f5fc6c63</citedby><cites>FETCH-LOGICAL-c540t-3016fb007f7b1f28c361d8c89a031cfb95b9666642596206095374552f5fc6c63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00345-014-1261-1$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00345-014-1261-1$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24531879$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bogusiewicz, Michał</creatorcontrib><creatorcontrib>Monist, Marta</creatorcontrib><creatorcontrib>Gałczyński, Krzysztof</creatorcontrib><creatorcontrib>Woźniak, Magdalena</creatorcontrib><creatorcontrib>Wieczorek, Andrzej P.</creatorcontrib><creatorcontrib>Rechberger, Tomasz</creatorcontrib><title>Both the middle and distal sections of the urethra may be regarded as optimal targets for ‘outside-in’ transobturator tape placement</title><title>World journal of urology</title><addtitle>World J Urol</addtitle><addtitle>World J Urol</addtitle><description>Purpose
To investigate whether the position of the tape under the urethra may influence ‘outside-in’ transobturator sling (TOT) outcome.
Methods
The study comprised 141 women who underwent TOT for clinically and urodynamically proved stress urinary incontinence. The postoperative ultrasound examination with an endovaginal biplane probe was performed before discharging the patients from hospital. The measurements obtained described the position of the tape relative to the urethra and pubic symphysis, as well as anatomical relationships in the anterior compartment.
Results
Ninety-six (68.1 %) patients were cured, 27 (19.1 %) significantly improved, and in 18 cases (12.7 %), the surgery failed. The tape position under the midurethra (40–70th percentile of the urethral length) or distal urethra (>70th percentile) coincided with better results (cure rate 67.1 and 82.4 %, respectively) than the location in the proximity of the bladder neck (<40th percentile) (21.4 % cured,
p
= 0.0015 and
p
< 0.001, respectively). However, the risk of failure was the lowest when the tape was located under the distal urethra. Other ultrasonographic findings were not related to treatment results.
Conclusions
The highest failure rate for ‘outside-in’ TOT is associated with the location of the tape under the proximal third of the urethra. Both the middle and distal sections of the urethra may be regarded as targets for transobturator tape placement.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Body Mass Index</subject><subject>Cohort Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Nephrology</subject><subject>Oncology</subject><subject>Original</subject><subject>Original Article</subject><subject>Prosthesis Implantation</subject><subject>Risk Factors</subject><subject>Suburethral Slings</subject><subject>Treatment Failure</subject><subject>Ultrasonography</subject><subject>Urethra - diagnostic imaging</subject><subject>Urethra - surgery</subject><subject>Urinary Incontinence, Stress - surgery</subject><subject>Urology</subject><issn>0724-4983</issn><issn>1433-8726</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kc1u1DAUhS0EosPAA7BBltiwMfg_yQYJKv6kSmxgbTn29UyqJA62U6m7LnkEeL0-CR6mVAUJb7w43z3nXh2EnjL6klHavMqUCqkIZZIwrhlh99CGSSFI23B9H21owyWRXStO0KOczylljabqITrhUgnWNt0GfX8byx6XPeBp8H4EbGeP_ZCLHXEGV4Y4ZxzDb2JNUPbJ4sle4h5wgp1NHjy2lVjKMNWRYtMOSsYhJnx99SOuJQ8eyDBfX_3EJdk5x76syZaqF7sAXkbrYIK5PEYPgh0zPLn5t-jr-3dfTj-Ss88fPp2-OSNOSVqIoEyHvh4fmp4F3jqhmW9d21kqmAt9p_pO1ye56jSnmnZKNFIpHlRw2mmxRa-PvsvaT-BdjU52NEuq-6dLE-1g_lbmYW928cJILrQWrBq8uDFI8dsKuZhpyA7G0c4Q12yY5g2tkbqp6PN_0PO4prmed6BUy1RXXbeIHSmXYs4Jwu0yjJpDz-bYs6k9m0PP5rDEs7tX3E78KbYC_AjkKs07SHei_-v6C4gytkE</recordid><startdate>20141201</startdate><enddate>20141201</enddate><creator>Bogusiewicz, Michał</creator><creator>Monist, Marta</creator><creator>Gałczyński, Krzysztof</creator><creator>Woźniak, Magdalena</creator><creator>Wieczorek, Andrzej P.</creator><creator>Rechberger, Tomasz</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20141201</creationdate><title>Both the middle and distal sections of the urethra may be regarded as optimal targets for ‘outside-in’ transobturator tape placement</title><author>Bogusiewicz, Michał ; Monist, Marta ; Gałczyński, Krzysztof ; Woźniak, Magdalena ; Wieczorek, Andrzej P. ; Rechberger, Tomasz</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c540t-3016fb007f7b1f28c361d8c89a031cfb95b9666642596206095374552f5fc6c63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Body Mass Index</topic><topic>Cohort Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Nephrology</topic><topic>Oncology</topic><topic>Original</topic><topic>Original Article</topic><topic>Prosthesis Implantation</topic><topic>Risk Factors</topic><topic>Suburethral Slings</topic><topic>Treatment Failure</topic><topic>Ultrasonography</topic><topic>Urethra - diagnostic imaging</topic><topic>Urethra - surgery</topic><topic>Urinary Incontinence, Stress - surgery</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bogusiewicz, Michał</creatorcontrib><creatorcontrib>Monist, Marta</creatorcontrib><creatorcontrib>Gałczyński, Krzysztof</creatorcontrib><creatorcontrib>Woźniak, Magdalena</creatorcontrib><creatorcontrib>Wieczorek, Andrzej P.</creatorcontrib><creatorcontrib>Rechberger, Tomasz</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>World journal of urology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bogusiewicz, Michał</au><au>Monist, Marta</au><au>Gałczyński, Krzysztof</au><au>Woźniak, Magdalena</au><au>Wieczorek, Andrzej P.</au><au>Rechberger, Tomasz</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Both the middle and distal sections of the urethra may be regarded as optimal targets for ‘outside-in’ transobturator tape placement</atitle><jtitle>World journal of urology</jtitle><stitle>World J Urol</stitle><addtitle>World J Urol</addtitle><date>2014-12-01</date><risdate>2014</risdate><volume>32</volume><issue>6</issue><spage>1605</spage><epage>1611</epage><pages>1605-1611</pages><issn>0724-4983</issn><eissn>1433-8726</eissn><abstract>Purpose
To investigate whether the position of the tape under the urethra may influence ‘outside-in’ transobturator sling (TOT) outcome.
Methods
The study comprised 141 women who underwent TOT for clinically and urodynamically proved stress urinary incontinence. The postoperative ultrasound examination with an endovaginal biplane probe was performed before discharging the patients from hospital. The measurements obtained described the position of the tape relative to the urethra and pubic symphysis, as well as anatomical relationships in the anterior compartment.
Results
Ninety-six (68.1 %) patients were cured, 27 (19.1 %) significantly improved, and in 18 cases (12.7 %), the surgery failed. The tape position under the midurethra (40–70th percentile of the urethral length) or distal urethra (>70th percentile) coincided with better results (cure rate 67.1 and 82.4 %, respectively) than the location in the proximity of the bladder neck (<40th percentile) (21.4 % cured,
p
= 0.0015 and
p
< 0.001, respectively). However, the risk of failure was the lowest when the tape was located under the distal urethra. Other ultrasonographic findings were not related to treatment results.
Conclusions
The highest failure rate for ‘outside-in’ TOT is associated with the location of the tape under the proximal third of the urethra. Both the middle and distal sections of the urethra may be regarded as targets for transobturator tape placement.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>24531879</pmid><doi>10.1007/s00345-014-1261-1</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0724-4983 |
| ispartof | World journal of urology, 2014-12, Vol.32 (6), p.1605-1611 |
| issn | 0724-4983 1433-8726 |
| language | eng |
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| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | Adult Aged Aged, 80 and over Body Mass Index Cohort Studies Female Humans Medicine Medicine & Public Health Middle Aged Nephrology Oncology Original Original Article Prosthesis Implantation Risk Factors Suburethral Slings Treatment Failure Ultrasonography Urethra - diagnostic imaging Urethra - surgery Urinary Incontinence, Stress - surgery Urology |
| title | Both the middle and distal sections of the urethra may be regarded as optimal targets for ‘outside-in’ transobturator tape placement |
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