{"title":"经会阴超声检测盆腔器官脱垂和压力性尿失禁术后并发症。","authors":"Lan Bu, Xiaoyu Yang, Ailing Xu, Fang Nie","doi":"10.1002/jcu.24065","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Assess the roles of two-dimensional (2D) and three-dimensional (3D) transperineal ultrasound (TPUS) among women suspected of having complications associated with surgical implantation for pelvic organ prolapse (POP) and stress urinary incontinence (SUI).</p><p><strong>Methods: </strong>A retrospective single-center cohort study was conducted, involving 130 women who underwent either vaginal or abdominal mesh implant placement for the treatment of pelvic organ prolapse (POP) or stress urinary incontinence (SUI) between January 2017 and December 2024. The position and mobility of the slings were dynamically assessed using 2D and 3D TPUS at rest and during the Valsalva maneuver.</p><p><strong>Results: </strong>Among 130 patients, 24 were categorized as symptomatic and 106 as asymptomatic. 89.2% (116/130) had one implant, while the remaining patients had two or more implants. Mid-urethral slings (MUS) were the most prevalent implants [63.8% (83/130)]. Chronic pelvic or abdominal pain was the most frequent clinical symptom [16.9% (22/130)]. There were more mesh implants in the symptomatic group [45.8% (11/24)] than in the asymptomatic group [3.8% (4/106)]. The sensitivity and specificity of transperineal ultrasound in detecting complications after pelvic floor sling surgery are approximately 89% and 92%, respectively.</p><p><strong>Conclusion: </strong>Transperineal 2D and 3D ultrasound effectively evaluates the position and mobility of pelvic mesh implants, demonstrating high sensitivity and specificity in detecting postoperative complications.</p>","PeriodicalId":15386,"journal":{"name":"Journal of Clinical Ultrasound","volume":" ","pages":""},"PeriodicalIF":1.2000,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Transperineal Ultrasound for Detecting Complications After Pelvic Organ Prolapse and Stress Urinary Incontinence Surgery.\",\"authors\":\"Lan Bu, Xiaoyu Yang, Ailing Xu, Fang Nie\",\"doi\":\"10.1002/jcu.24065\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>Assess the roles of two-dimensional (2D) and three-dimensional (3D) transperineal ultrasound (TPUS) among women suspected of having complications associated with surgical implantation for pelvic organ prolapse (POP) and stress urinary incontinence (SUI).</p><p><strong>Methods: </strong>A retrospective single-center cohort study was conducted, involving 130 women who underwent either vaginal or abdominal mesh implant placement for the treatment of pelvic organ prolapse (POP) or stress urinary incontinence (SUI) between January 2017 and December 2024. The position and mobility of the slings were dynamically assessed using 2D and 3D TPUS at rest and during the Valsalva maneuver.</p><p><strong>Results: </strong>Among 130 patients, 24 were categorized as symptomatic and 106 as asymptomatic. 89.2% (116/130) had one implant, while the remaining patients had two or more implants. Mid-urethral slings (MUS) were the most prevalent implants [63.8% (83/130)]. Chronic pelvic or abdominal pain was the most frequent clinical symptom [16.9% (22/130)]. There were more mesh implants in the symptomatic group [45.8% (11/24)] than in the asymptomatic group [3.8% (4/106)]. The sensitivity and specificity of transperineal ultrasound in detecting complications after pelvic floor sling surgery are approximately 89% and 92%, respectively.</p><p><strong>Conclusion: </strong>Transperineal 2D and 3D ultrasound effectively evaluates the position and mobility of pelvic mesh implants, demonstrating high sensitivity and specificity in detecting postoperative complications.</p>\",\"PeriodicalId\":15386,\"journal\":{\"name\":\"Journal of Clinical Ultrasound\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":1.2000,\"publicationDate\":\"2025-06-26\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Clinical Ultrasound\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1002/jcu.24065\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"ACOUSTICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Clinical Ultrasound","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/jcu.24065","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ACOUSTICS","Score":null,"Total":0}
Transperineal Ultrasound for Detecting Complications After Pelvic Organ Prolapse and Stress Urinary Incontinence Surgery.
Purpose: Assess the roles of two-dimensional (2D) and three-dimensional (3D) transperineal ultrasound (TPUS) among women suspected of having complications associated with surgical implantation for pelvic organ prolapse (POP) and stress urinary incontinence (SUI).
Methods: A retrospective single-center cohort study was conducted, involving 130 women who underwent either vaginal or abdominal mesh implant placement for the treatment of pelvic organ prolapse (POP) or stress urinary incontinence (SUI) between January 2017 and December 2024. The position and mobility of the slings were dynamically assessed using 2D and 3D TPUS at rest and during the Valsalva maneuver.
Results: Among 130 patients, 24 were categorized as symptomatic and 106 as asymptomatic. 89.2% (116/130) had one implant, while the remaining patients had two or more implants. Mid-urethral slings (MUS) were the most prevalent implants [63.8% (83/130)]. Chronic pelvic or abdominal pain was the most frequent clinical symptom [16.9% (22/130)]. There were more mesh implants in the symptomatic group [45.8% (11/24)] than in the asymptomatic group [3.8% (4/106)]. The sensitivity and specificity of transperineal ultrasound in detecting complications after pelvic floor sling surgery are approximately 89% and 92%, respectively.
Conclusion: Transperineal 2D and 3D ultrasound effectively evaluates the position and mobility of pelvic mesh implants, demonstrating high sensitivity and specificity in detecting postoperative complications.
期刊介绍:
The Journal of Clinical Ultrasound (JCU) is an international journal dedicated to the worldwide dissemination of scientific information on diagnostic and therapeutic applications of medical sonography.
The scope of the journal includes--but is not limited to--the following areas: sonography of the gastrointestinal tract, genitourinary tract, vascular system, nervous system, head and neck, chest, breast, musculoskeletal system, and other superficial structures; Doppler applications; obstetric and pediatric applications; and interventional sonography. Studies comparing sonography with other imaging modalities are encouraged, as are studies evaluating the economic impact of sonography. Also within the journal''s scope are innovations and improvements in instrumentation and examination techniques and the use of contrast agents.
JCU publishes original research articles, case reports, pictorial essays, technical notes, and letters to the editor. The journal is also dedicated to being an educational resource for its readers, through the publication of review articles and various scientific contributions from members of the editorial board and other world-renowned experts in sonography.