Association between <scp>3D</scp> endovaginal and <scp>2D</scp> perineal  pelvic floor ultrasound findings and symptoms in women presenting with mid‐urethral sling complications

Taithongchai, Annika; Pandeva, Ivilina; Sultan, Abdul H.; Thakar, Ranee

doi:10.1002/uog.23130

Cited by 4 publications

(3 citation statements)

References 27 publications

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“…It was found that the likelihood of experiencing voiding dysfunction was significantly higher in women categorized as having a Group III MUS shape (C-shaped both at rest and during Valsalva), with 64% of these patients affected. Conversely, voiding dysfunction was observed in only 36% of the patients who were part of Group I, where the MUS remained flat during both rest and Valsalva maneuver [71].…”

Section: Urinary Retention and Obstructive Voidingmentioning

confidence: 85%

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Sonography as a Diagnostic Tool in Midurethral Sling Complications: A Narrative Review

Zwierzchowska,

Tomasik,

Horosz

et al. 2024

JCM

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Despite the established safety and efficacy of midurethral slings (MUS), which are the current gold standard treatment for stress urinary incontinence (SUI), the potential for postoperative complications remains a significant concern for both healthcare professionals and patients. Meanwhile, sonography has emerged as a significant diagnostic tool in urogynecology, and one of the applications of this imaging modality may be the evaluation of complications arising from MUS procedures. This review, based on a comprehensive literature search, focuses on the use of pelvic floor ultrasound (US) in the context of MUS complications. It includes analyses of randomized controlled trials, prospective, and retrospective studies, covering preoperative and postoperative investigations, to assess complications such as persistent and recurrent SUI, urinary retention and obstructive voiding, de novo urgency/overactive bladder, vaginal exposure, sling erosion, pain, and hematoma. The review critically examines the existing literature, with a particular focus on recent publications. Despite the variability in findings, it appears that for each of the discussed complications, the application of pelvic floor US can significantly support the diagnostic and therapeutic process. The paper also identifies potential future directions for the development of US applications in diagnosing MUS complications.

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Section: Urinary Retention and Obstructive Voidingmentioning

confidence: 85%

“…The analyses included the sling's distance from the urethral lumen, its position along the urethra, and its shape. No specific US characteristics or measurements correlated with the presence of pain, including dyspareunia [71]. Recently, another group yielded comparable results.…”

Section: Painmentioning

confidence: 98%

Sonography as a Diagnostic Tool in Midurethral Sling Complications: A Narrative Review

Zwierzchowska,

Tomasik,

Horosz

et al. 2024

JCM

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“…It is hypothesized that if the sling is overly tense, this might lead to its forward movement toward the region of fixation, such as the obturator foramen in mini-slings. A recent review of ultrasonographic findings of MUS after placement indicated that different sling tension and positioning related to the urethra may result in different surgical outcomes [28].…”

Section: Discussionmentioning

confidence: 99%

Continence Is Not Affected after Sling Revision with Transvaginal Tape Elongation for Post-Sling Voiding Dysfunction

Tsai,

Liu,

Yang

et al. 2024

JCM

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Voiding dysfunction (VD) after sling operation is not uncommon. Sling revisions by incision/excision are usually effective; however, they may result in recurrent stress urinary incontinence (SUI). We aimed to evaluate continence status after an innovative sling revision procedure that preserves the integrity of the sling. Patients who underwent either a single-incision (AJUST) or a trans-obturator (TVT-O) mid-urethral sling were studied. Transvaginal tape elongation (i.e., sling midline incision and mesh interposition) was performed on patients with post-sling VD. Factors that may affect recurrent SUI were investigated by statistical analyses. Of 119 patients, 90 (75.6%) (45 AJUST and 45 TVT-O) were available for long-term (median 9; 8–10 years) follow-up. A significantly higher rate (17.2% vs. 3.3%, p = 0.014) of VD was noted after AJUST (N = 10) than after TVT-O (N = 2). After sling revision, four (33%) of the 12 cases reported recurrent SUI, which was not significantly different (p = 1.000) from the rate (37%, 29/78) of patients who did not undergo sling revision. Further statistical analyses revealed no significant predisposing factors affecting the recurrence of SUI. Surgical continence did not seem to be affected by having had sling revision with transvaginal tape elongation for post-sling VD.

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Mid-term results of the Remeex® readjustable sling for female complex stress urinary incontinence and sonographic hypomobile urethra

et al. 2021

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Association between 3D endovaginal and 2D perineal pelvic floor ultrasound findings and symptoms in women presenting with mid‐urethral sling complications

Cited by 4 publications

References 27 publications

Sonography as a Diagnostic Tool in Midurethral Sling Complications: A Narrative Review

Sonography as a Diagnostic Tool in Midurethral Sling Complications: A Narrative Review

Continence Is Not Affected after Sling Revision with Transvaginal Tape Elongation for Post-Sling Voiding Dysfunction

Mid-term results of the Remeex® readjustable sling for female complex stress urinary incontinence and sonographic hypomobile urethra

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