Modificações da junção uretrovesical e uretra proximal após a cirurgia de alça sem tensão em mulheres de 45 a 72 anos

Abstract

Modificações da junção ure t rovesical e u retra proximal após a ciru rgia de alça sem tensão em mulheres de 45 a 72 anos U re t h rovesical junction and pro x i m a l u rethra changes following tension-fre e vaginal tape surg e ry in women aged 45 to 72 years old Abstract Objectives: to describe the ure t h rovesical junction and proximal urethra changes following Te n s i o nf ree Vaginal Tape (TVT) pro c e d u re for stress urinary incontinence treatment (SUI).Methods Conclusions: TVT s u rg e ry used for tre a t i n g women with stress urinary incontinence significantly reduces the vertical mobility of the ure t h ro v e s i c a l junction (p=0,005) and proximal urethra (p=0,02). Key word s U r i n a ry incontinence, stress, Surg e ry, Women Resumo Objetivos: descrever as modificações da junção u re t rovesical e uretra proximal decorrentes do uso do Te n s i o n -F ree Vaginal Tape (TVT), empregado no tratamento da incontinência urinária de esforço ( I U E ) .Métodos

Transvulvar ultrasound of urethrovesical junction and proximal urethra as prognostic markers of burch procedure outcome

“…Similar results have been described for the Kelly-Kennedy and tension-free vaginal tape (TVT) procedures [9,15,16] .…”

“…In such cases, it is classified as genuine SUI. The importance of the urethrovesical junction (UVJ) and proximal urethra (PU) mobility in the maintenance of female urinary continence has already been established [4,[6][7][8][9][10][11] . However, the urodynamic evaluation determines only indirectly the UVJ and PU mobility, differently from what can be clearly demonstrated in real time imaging by ultrasound [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] .…”

“…The ultrasonographic examination of the UVJ and PU has been increasingly used in the preoperative evaluation and postoperative follow-up of patients with SUI, to document the UVJ and PU positioning before and after the elected surgical treatment [4][5][6][7][8][9][10][11][12][13][17][18][19] . At least one study suggested that the positioning of the UVJ and PU in the postoperative period is a good marker for treatment prognosis (whether a surgical procedure for SUI correction had been successful or not) [14] .…”

Ultrassonografia uretrovesical como método eficaz de avaliação dos parâmetros prognósticos de tratamento cirúrgico da incontinência urinária de esforço

“…However, the urodynamic study can only indirectly demonstrate the vertical mobility of the urethrovesical junction (UVJ) and proximal urethra (PU). Differently, ultrasonography can demonstrate a real image, with positioning and mobility of the UVJ and PU (4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20) .…”

“…Ultrasonography of the UVJ and PU has increasingly been used in the preoperative evaluation of patients with stress urinary incontinence as well as in their postoperative follow-up for defining topographic parameters regarding the UVJ and PU positioning according to the surgical technique utilized (4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(17)(18)(19) . An original study demonstrates that the UVJ and PU positioning represents a good prognostic factor of the success or failure of the surgical correction of stress urinary incontinence (14) .…”