Sonographic Sling Position and the Outcome of the Tension-Free Vaginal Tape-Obturator in Asian Chinese.

IF 1.8 3区医学 Q3 OBSTETRICS & GYNECOLOGY

International Urogynecology Journal Pub Date : 2024-11-25 DOI:10.1007/s00192-024-05998-8

Chui-Shan Yip, Willy Cecilia Cheon, Yuen-Mei Chan, Ka-Wing Lau, Yuk-Sheung Joan Fan

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引用次数: 0

Abstract

Introduction and hypothesis: The objective was to assess the sonographic tension-free vaginal tape-obturator (TVT-O) position and the outcome in Asian Chinese women.

Methods: A prospective cohort study of 254 patients who underwent TVT-O surgery between 2013 and 2022. The sonographic position of the TVT-O was recorded and correlated with the outcomes, including the subjective cure rates, Incontinence Impact Questionnaire 7 (IIQ-7), and retention of urine.

Results: A total of 92.9% reported no stress urinary incontinence after the operation. The IIQ-7 score significantly improved after TVT-O surgery. 88.2% of patients had the TVT-O placed at 50-70% of the urethral length and half of the TVT-O were placed 3-5 mm from the urethra. The cure rate was higher when the tape was in the middle third of the urethra, but the tape position was not associated with postoperative retention of urine in our study.

Conclusions: Most TVT-Os can be placed in the target zone in a blind procedure in Asian Chinese women. The tape position was related to the outcomes. Early postoperative ultrasound of the tape position may predict the outcome of the surgery.

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亚洲华人使用无张力阴道带闭锁器的声像图吊带位置和效果。

引言和假设：目的是评估亚洲华裔女性的声像图无张力阴道胶带-Obturator（TVT-O）位置和结果：方法：对2013年至2022年间接受TVT-O手术的254名患者进行前瞻性队列研究。方法：对2013年至2022年期间接受TVT-O手术的254名患者进行前瞻性队列研究，记录TVT-O的声像图位置，并将其与主观治愈率、尿失禁影响问卷7（IIQ-7）和尿潴留等结果相关联：结果：92.9%的患者在术后未出现压力性尿失禁。TVT-O 术后 IIQ-7 评分明显提高。88.2%的患者将TVT-O放置在尿道长度的50-70%处，一半的TVT-O放置在距离尿道3-5毫米处。当胶带位于尿道中间三分之一处时，治愈率较高，但在我们的研究中，胶带位置与术后尿潴留无关：结论：大多数TVT-O都能在盲法手术中被放置在目标区域。结论：大多数 TVT-O 都能在亚洲华裔女性的盲视手术中置入靶区。术后早期对胶带位置进行超声检查可预测手术效果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Urogynecology Journal 医学-妇产科学

CiteScore

3.80

自引率

22.20%

发文量

406

审稿时长

3-6 weeks

期刊介绍： The International Urogynecology Journal is the official journal of the International Urogynecological Association (IUGA).The International Urogynecology Journal has evolved in response to a perceived need amongst the clinicians, scientists, and researchers active in the field of urogynecology and pelvic floor disorders. Gynecologists, urologists, physiotherapists, nurses and basic scientists require regular means of communication within this field of pelvic floor dysfunction to express new ideas and research, and to review clinical practice in the diagnosis and treatment of women with disorders of the pelvic floor. This Journal has adopted the peer review process for all original contributions and will maintain high standards with regard to the research published therein. The clinical approach to urogynecology and pelvic floor disorders will be emphasized with each issue containing clinically relevant material that will be immediately applicable for clinical medicine. This publication covers all aspects of the field in an interdisciplinary fashion