Urogynecologic ultrasound is a useful aid in the assessment of female stress urinary incontinence--a prospective study with TVT procedure.
The aims of the study were to study the suitability of certain urogynecologic ultrasound parameters, e.g. descent of the urethrovesical (UV) junction on Valsalva, posterior urethrovesical (PUV) angle both at rest and on Valsalva, and funneling of the vesical neck, in the pre- and postoperative assessment of stress urinary incontinence (SUI) and to evaluate the efficacy and safety of tension-free vaginal tape (TVT) for the surgical treatment of SUI. Forty-six consecutive women (mean age 61 years) with symptoms of SUI underwent TVT placement. The patients were examined prior to and on average of 11 weeks after the operation with perineal ultrasound. An upright coughing test on standing was performed every time. Operative success rate was 94% in this series. Urogynecologic perineal ultrasound examination seemed strongly to support an anamnestic diagnosis of genuine SUI, and TVT proved to be a safe and effective ambulatory procedure for the surgical treatment of SUI.
Department of Gynecology, Turku City Hospital, Turku, Finland. heikki.virtanen@turku.fi
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Virtanen
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Kiilholma
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003371:Cough / Q000503:physiopathology; D005260:Female; D006801:Humans; D008022:Ligaments / Q000503:physiopathology; D008875:Middle Aged; D017773:Pelvic Floor / Q000000981:diagnostic imaging; D011446:Prospective Studies; D019736:Prostheses and Implants; D014463:Ultrasonography; D014521:Urethra / Q000000981:diagnostic imaging*; D001743:Urinary Bladder / Q000000981:diagnostic imaging*; D014550:Urinary Incontinence, Stress / Q000000981:diagnostic imaging* / Q000601:surgery; D014621:Vagina / Q000000981:diagnostic imaging*