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International Urogynecology Journal

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01-02-2011 | Original Article

TVT-S in the U position—anatomical study

Authors: Petr Hubka, Ondrej Nanka, Alois Martan, Milos Grim, Jana Zvarova, Jaromir Masata

Published in: International Urogynecology Journal | Issue 2/2011

Abstract

Introduction and hypothesis

The objective is to describe the anatomical position of tension-free vaginal tape Secur (TVT-S) in the U position regarding possible injury and fixation site.

Methods

We placed TVT-S inserters bilaterally in 13 embalmed and five fresh frozen female bodies. After dissection, we measured distances from the obturator bundle.

Results

In embalmed bodies, the mean distance of TVT-S from the obturator bundle was 2.83 cm (standard deviation (SD) 0.87 cm) on the left, 2.92 cm (SD 1.24 cm) on the right. Perforation of the fascia of obturator internus muscle occurred in 38.5%. In fresh frozen bodies, results were fundamentally similar (p > 0.05).

Conclusions

There is a risk of injury to the obturator bundle and urinary bladder during TVT-S; however, there is a significant risk of inserting the TVT-S inserter outside the obturator internus muscle (into the lesser pelvis). The position of TVT-S does not change significantly after legs mal-positioning.

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Title: TVT-S in the U position—anatomical study
Authors: Petr Hubka
Ondrej Nanka
Alois Martan
Milos Grim
Jana Zvarova
Jaromir Masata
Publication date: 01-02-2011
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 2/2011
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-010-1239-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

TVT-S in the U position—anatomical study

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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