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International Urogynecology Journal

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01-06-2011 | Original Article

Measurement of transurethral bladder neck displacement during tension-free vaginal tape procedure

Authors: Shameem A. Abbasy, Kimberly Kenton, Linda Brubaker, Elizabeth R. Mueller

Published in: International Urogynecology Journal | Issue 6/2011

Abstract

Introduction and hypothesis

The rigid catheter guide is used during the tension-free vaginal tape (TVT) procedure to direct the bladder neck away from the retropubic passage of the sling arm. Our aim was to measure, using transperineal ultrasound, the amount of bladder neck displacement by the rigid catheter guide during TVT placement.

Methods

This is a prospective cohort of 28 patients undergoing the TVT procedure, with or without concomitant pelvic organ prolapse repair. Spearman's correlation was used to analyze the bladder neck displacement from the midline.

Results

The median right-sided bladder neck displacement distance was 1.4 cm (0.6–2.0), and the median left-sided bladder neck displacement distance was 1.4 cm (0.8–2.0). The overall perforation rate was 14% (4/28).

Conclusions

Bladder neck displacement with the Mandarin guide results in ~1.4 cm of lateral movement.

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Title: Measurement of transurethral bladder neck displacement during tension-free vaginal tape procedure
Authors: Shameem A. Abbasy
Kimberly Kenton
Linda Brubaker
Elizabeth R. Mueller
Publication date: 01-06-2011
Publisher: Springer-Verlag
Published in: International Urogynecology Journal / Issue 6/2011
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-010-1338-3

At a glance: The STEP trials

Springer Medicine

Measurement of transurethral bladder neck displacement during tension-free vaginal tape 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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