Transperineal Sonography and Urodynamic Findings in Women With Lower Urinary Tract Symptoms After Sling Placement

Takács, Péter; Larson, Kindra; Cunningham, Tina D.; DeShields, Sarah C.; Abuhamad, Alfred

doi:10.7863/ultra.16.02076

Cited by 14 publications

(7 citation statements)

References 15 publications

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“…9,10 However, studies evaluating the relationship of the sling location with LUTS together with urodynamic parameters are very few. [10][11][12][13] Free uroflowmetry, together with the measurement of postvoid residual volume (PVR), so-called noninvasive urodynamics, is a tool recommended for the evaluation of women with voiding dysfunction. Voided volume, Qmax, (maximum urine flow rate) average flow rate, PVR, time to peak flow, and voiding time are the parameters recommended to be reported.…”

Section: Why This Mattersmentioning

confidence: 99%

Do the Ultrasonographic Measures of Midurethral Sling Location Relate With Surgical Outcomes?

Seval,

Cetinkaya,

Baydemir

et al. 2024

UROGC

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Importance The proper placement of a midurethral sling (MUS) is the key factor for a successful surgical outcome. Objective This study aimed to evaluate the relationship of perineal ultrasonographic measures of the tape location with subjective and objective outcomes after MUS surgery at midterm follow-up of women. Methods The tape percentile (TP; total urethral length/bladder neck tape distance×100) and urethra tape distance (UTD; the shortest distance from the longitudinal smooth muscle complex of the urethra to the midpoint of the tape) were correlated with midterm surgical success. Patient satisfaction measured with the visual analog scale (VAS) was considered as the primary outcome. The presence of stress urinary incontinence on direct questioning, the Urinary Distress Inventory 6 (UDI-6) scores, findings of the cough stress test, free uroflowmetry, postvoid residual volume, and single-cycle voiding ambulatory urodynamic monitoring (AUM) were the other outcomes. Results Seventy-eight women were evaluated at a mean follow-up of 4.4 ±3.3 years. Women who were highly satisfied (VAS ≥ 8) had a significantly higher TP (64.7% vs 50.8%, P < 0.001) and lower UTD (3.6 vs 4.5 mm, P = 0.018). Irritative, stress, and obstructive scores at UDI-6 increased as the tape was located closer to the bladder neck (P < 0.001, P < 0.001 and P = 0.044, respectively), and stress symptoms decreased with a tape closer to the urethra (P < 0.001). Women with detrusor overactivity at AUM were found to have a lower TP (P < 0.001). Conclusion The perineal ultrasonographic evaluation of tape location with UTD and TP seems to be well correlated with the women's midterm MUS surgical outcomes.

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Section: Why This Mattersmentioning

confidence: 99%

Do the Ultrasonographic Measures of Midurethral Sling Location Relate With Surgical Outcomes?

Seval,

Cetinkaya,

Baydemir

et al. 2024

UROGC

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“…Best surgical outcomes after sling placement have been shown in patients with midurethral location of the slings, concordance of urethral movement with the sling, and deformability of the sling on dynamic TPUS imaging [115]. Dynamic TPUS is able to predict development of high-pressure voiding after midurethral sling placement based on sling position and changes in morphology during straining [116,117]. Dynamic TPUS demonstrates significant reduction in urethral mobility and kinking in patients after POP repair, largely because of repair of cystoceles [118].…”

Section: Us Pelvis Transabdominalmentioning

confidence: 99%

ACR Appropriateness Criteria® Pelvic Floor Dysfunction in Females

Khatri¹,

Bhosale²,

Robbins³

et al. 2022

Journal of the American College of Radiology

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“…Suburethral slings may have a linear, curved or C‐ or U‐shaped appearance (Figure 9). A C‐shape at rest or during Valsalva maneuver has been shown to be associated with higher maximum voiding pressure as compared to linear‐appearing MUS at rest and/or during Valsalva maneuver, implying that such a sling is under greater tension and, thus, potentially more obstructive 51 .…”

Section: Mid‐urethral Slingsmentioning

confidence: 99%

Ultrasound imaging of slings and meshes in urogynecology

Shek

Dietz

2021

Ultrasound in Obstet & Gyne

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Imaging is used increasingly in urogynecology. One of the main applications is in the assessment of synthetic implants. Ultrasound is particularly useful for this purpose as most such implants appear highly echogenic on ultrasound but are not visible using other imaging techniques. The worldwide success of synthetic mid-urethral slings, introduced in the late 90s, led to the subsequent introduction of transvaginal mesh in 2003-2004. Widespread use of synthetic implants for both urinary incontinence and prolapse has caused a rise in implant-related complications and increasing negative publicity and litigation, with many products removed from the market. It is not surprising that there is increasing demand for the assessment and evaluation of sling and mesh implants using imaging. This review article discusses the role of translabial/transperineal ultrasound in the evaluation of synthetic implants used in the treatment of urinary incontinence and pelvic organ prolapse. The discussion focuses on those applications of the technique that are useful for surgeons dealing with patients after mesh and/or sling placement.

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Transperineal Sonography and Urodynamic Findings in Women With Lower Urinary Tract Symptoms After Sling Placement

Abstract: Transperineal dynamic 2D sonography can help predict women with high-pressure voiding after midurethral sling placement and aid in the diagnosis of bladder outlet obstruction.

Cited by 14 publications

References 15 publications

Do the Ultrasonographic Measures of Midurethral Sling Location Relate With Surgical Outcomes?

Do the Ultrasonographic Measures of Midurethral Sling Location Relate With Surgical Outcomes?

ACR Appropriateness Criteria® Pelvic Floor Dysfunction in Females

Ultrasound imaging of slings and meshes in urogynecology

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