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International Urogynecology Journal

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01-05-2009 | Original Article

Correlation between changes in ultrasound measurements and clinical curative effect of tension-free vaginal tape-SECUR* procedure

Authors: Alois Martan, Kamil Svabík, Jaromir Masata, Tomas Koleska, Rachid El-Haddad, Marketa Pavlikova

Published in: International Urogynecology Journal | Issue 5/2009

Abstract

Introduction and hypothesis

The hypotheses of this study were that the TVT-SECUR procedure restricts urethral mobility, which leads to a greater likelihood of curative effect, and that the restriction might change over time.

Methods

Analyses of the position of the urethra and the tape of 85 patients who underwent the TVT-S procedure were performed using perineal ultrasonography. The efficacy of the TVT-S procedure was evaluated by cough test and by the questionnaire ICIQ-UI SF.

Results

Objectively, 53/85 (62%) of patients had a negative cough test, and in 32/85 (38%) of patients leakage of urine persisted. The TVT-S procedure restricts urethral mobility, and a higher degree of obstruction is associated with a higher likelihood of cure. The restriction weakens within the first 3 months after surgery.

Conclusions

The objective cure rate of TVT-S procedure is low irrespective of placement technique. This may be due to insufficient restriction of urethral mobility.

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Title: Correlation between changes in ultrasound measurements and clinical curative effect of tension-free vaginal tape-SECUR* procedure
Authors: Alois Martan
Kamil Svabík
Jaromir Masata
Tomas Koleska
Rachid El-Haddad
Marketa Pavlikova
Publication date: 01-05-2009
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 5/2009
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-009-0823-z

At a glance: The STEP trials

Springer Medicine

Correlation between changes in ultrasound measurements and clinical curative effect of tension-free vaginal tape-SECUR* procedure

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Introduction and hypothesis

Methods

Results

Conclusions

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