[Value of endovaginal ultrasound to explain voiding disorders after TVT (Tension-free Vaginal Tape)].
OBJECTIVE
To assess the role of endovaginal ultrasound to explain voiding disorders observed after TVT (Tension-free Vaginal Tape).


METHODS
Fifty one patients were investigated by an endovaginal ultrasound 3 months after TVT to measure the length of the tape and its distance from the bladder neck. In parallel, cure (group 1), the presence of voiding disorders such as dysuria (group 2) and the presence of urge incontinence (group 3) were evaluated by self-administered questionnaire and clinical examination. Statistical analysis was based on analysis of variance (ANOVA).


RESULTS
Analysis of measurements of the TVT-bladder neck distance showed a significant difference between groups 1 and 2: 13.2 vs 7.6 mm, and between groups 1 and 3: 13.2 vs 18.5 mm. Similarly, a significant difference was observed for the TVT length between groups 1 and 2: 8.8 vs 6.6 mm, but not between groups 1 and 3. Analysis of TVT-bladder neck distance in groups 2 and 3 revealed a significant difference: 7.6 vs 18.5 mm, but the length of the TVT was not significantly different between these 2 groups.


CONCLUSIONS
These results demonstrate a correlation between the various voiding disorders observed after TVT and endovaginal ultrasound measurement of the distance between the TVT and the bladder neck.
Service d'Urologie-Andrologie, Hôpital Robert Debré, Reims, France. g.ducarme@ifrance.com
Guillaume
G
Ducarme
Yohann
Y
Menard
Yves
Y
Youinou
Frédéric
F
Staerman
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008875:Middle Aged; D014463:Ultrasonography; D014555:Urination Disorders / Q000000981:diagnostic imaging* / Q000209:etiology*; D013520:Urologic Surgical Procedures / Q000009:adverse effects*; D014621:Vagina