title: Perineal ultrasound evaluation of urethral mobility after the TVT-O procedure.
abstract: OBJECTIVE
  The aim of study was to assess, by means of perineal ultrasound (US), women treated with the trans-obturator suburethral sling procedure for urinary stress incontinence (USI).
  
  
  METHODS
  Twelve women with USI and urethral hypermobility were enrolled. Static and dynamic perineal US of urethral mobility was performed before and after tension-free vaginal tape opturator (TVT-O) procedure: US parameters evaluated were pubis-urethra distance and inclination angle of the urethral axis.
  
  
  RESULTS
  The Valsalva stress US evaluation showed a return to normal range of the pubic urethral distance in all cases (p = 0.0001); also a correction of the angle of inclination of the urethral axis occurred in all patients (p < 0.0001).
  
  
  CONCLUSIONS
  Our results propose the use of perineal US for patients with USI as an additional diagnostic tool and a means for postsurgical follow-up.
authors.affiliation: Department of Gynaecology, Obstetrics and Reproductive Medicine, Second University of Naples, Naples, Italy.
authors.forename: L
authors.initials: L
authors.lastname: Di Pietto
authors.forename: C
authors.initials: C
authors.lastname: Scaffa
authors.forename: A
authors.initials: A
authors.lastname: Lambiase
authors.forename: M
authors.initials: M
authors.lastname: Torella
authors.forename: C
authors.initials: C
authors.lastname: Sciorio
authors.forename: E
authors.initials: E
authors.lastname: Dato
authors.forename: A
authors.initials: A
authors.lastname: Nocerino
authors.forename: M L
authors.initials: ML
authors.lastname: Di Petrillo
authors.forename: R
authors.initials: R
authors.lastname: Fusco
authors.forename: M
authors.initials: M
authors.lastname: Rotondi
authors.forename: E M
authors.initials: EM
authors.lastname: Messalli
authors.forename: N
authors.initials: N
authors.lastname: Colacurci
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D008875:Middle Aged; D010502:Perineum / Q000000981:diagnostic imaging*; D053825:Suburethral Slings; D016896:Treatment Outcome; D014463:Ultrasonography; D014521:Urethra / Q000000981:diagnostic imaging*; D014550:Urinary Incontinence, Stress / Q000000981:diagnostic imaging* / Q000601:surgery*