Anatomical study of position of the TVT-O to the obturator nerve influenced by the position of the legs during the procedure: based upon findings at formalin-embalmed and fresh-frozen bodies.
OBJECTIVE
Groin pain is one of the complications after TVT-O procedure. The aim was to examine the position and safety of the tape after TVT-O procedure.


METHODS
We inserted TVT-O in 14 formalin-embalmed bodies with legs malpositioned (group 1) and in 5 fresh-frozen bodies with legs malpositioned (group 2) and in 5 fresh-frozen bodies with legs correctly positioned (group 3). After dissection distances from the branches of obturator nerve were measured.


RESULTS
In group 1, the mean distance from the anterior branch of the obturator nerve was 8.6 mm on the left, 7.1 mm on the right. Mean distance from the posterior branch of the obturator nerve was 8.4 mm on the left, 8.9 mm on the right. In group 2, the mean distance from the anterior branch of the obturator nerve was 8.0 mm on the left, 8.0 mm on the right. Mean distance from the posterior branch of the obturator nerve was 5.0 mm on the left, 8.00 mm on the right. In group 3, the mean distance from the anterior branch of the obturator nerve was 24 mm on the left, 23 mm on the right. Mean distance from the posterior branch of the obturator nerve was 23 mm on the left, 23 mm on the right. Statistical analysis was performed with confirmation of significant difference between group of bodies with legs positioned correctly and other groups with malpositioned legs.


CONCLUSIONS
The position of the legs is crucial for correct placement of TVT-O.
Department of Obstetrics and Gynaecology, 1st Faculty of Medicine, Charles University in Prague, Apolinarska 18, 12000, Prague 2, Czech Republic. petr.hubka@vfn.cz
Petr
P
Hubka
Ondrej
O
Nanka
Alois
A
Martan
Kamil
K
Svabik
Jana
J
Zvarova
Jaromir
J
Masata
D002102:Cadaver; D015925:Cryopreservation; D005260:Female; D005557:Formaldehyde; D006801:Humans; D007866:Leg; D009776:Obturator Nerve / Q000033:anatomy & histology*; D053825:Suburethral Slings; D016683:Supine Position; D016896:Treatment Outcome; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods*
D005557:Formaldehyde