Measurement of transurethral bladder neck displacement during tension-free vaginal tape procedure.
Summary of "Measurement of transurethral bladder neck displacement during tension-free vaginal tape procedure."
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.
Affiliation
Department of Obstetrics and Gynecology, Swedish Covenant Medical Associates, Swedish Covenant Hospital, 5140 N. California Avenue, Suite 635, Chicago, IL, 60625, USA, sabbasy@schosp.org.
Journal Details
This article was published in the following journal.
Name: International urogynecology journal and pelvic floor dysfunction
ISSN: 1433-3023
Pages:
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/21174078
- DOI: http://dx.doi.org/10.1007/s00192-010-1338-3
Medical and Biotech [MESH] Definitions
Prostatectomy
Complete or partial surgical removal of the prostate. Three primary approaches are commonly employed: suprapubic - removal through an incision above the pubis and through the urinary bladder; retropubic - as for suprapubic but without entering the urinary bladder; and transurethral (TRANSURETHRAL RESECTION OF PROSTATE).
Urinary Bladder Neck Obstruction
Blocked urine flow through the bladder neck, the narrow internal urethral opening at the base of the URINARY BLADDER. Narrowing or strictures of the URETHRA can be congenital or acquired. It is often observed in males with enlarged PROSTATE glands.
Urinary Incontinence, Stress
Involuntary discharge of URINE as a result of physical activities that increase abdominal pressure on the URINARY BLADDER without detrusor contraction or overdistended bladder. The subtypes are classified by the degree of leakage, descent and opening of the bladder neck and URETHRA without bladder contraction, and sphincter deficiency.
Nuchal Translucency Measurement
A prenatal ultrasonic measurement of the thickness or translucent area below the SKIN in the back of the fetal NECK, or nape of the neck, during the first 11-14 weeks of gestation (PREGNANCY TRIMESTER, FIRST). Abnormal thickness or nuchal translucent measurements resulting from fluid collection, is associated with increased risks of CHROMOSOME ABNORMALITIES. (Nicolaides et al., 1992)
Manometry
Measurement of the pressure or tension of liquids or gases with a manometer.
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