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International Urogynecology Journal

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01.02.2011 | Original Article

TVT-S in the U position—anatomical study

verfasst von: Petr Hubka, Ondrej Nanka, Alois Martan, Milos Grim, Jana Zvarova, Jaromir Masata

Erschienen in: International Urogynecology Journal | Ausgabe 2/2011

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Abstract

Introduction and hypothesis

The objective is to describe the anatomical position of tension-free vaginal tape Secur (TVT-S) in the U position regarding possible injury and fixation site.

Methods

We placed TVT-S inserters bilaterally in 13 embalmed and five fresh frozen female bodies. After dissection, we measured distances from the obturator bundle.

Results

In embalmed bodies, the mean distance of TVT-S from the obturator bundle was 2.83 cm (standard deviation (SD) 0.87 cm) on the left, 2.92 cm (SD 1.24 cm) on the right. Perforation of the fascia of obturator internus muscle occurred in 38.5%. In fresh frozen bodies, results were fundamentally similar (p > 0.05).

Conclusions

There is a risk of injury to the obturator bundle and urinary bladder during TVT-S; however, there is a significant risk of inserting the TVT-S inserter outside the obturator internus muscle (into the lesser pelvis). The position of TVT-S does not change significantly after legs mal-positioning.

Ulmsten U, Petros P (1995) Intravaginal slingplasty (IVS): an ambulatory surgical procedure for treatment of female urinary incontinence. Scand J Urol Nephrol 29:75–82CrossRefPubMed

Ulmsten U, Johnson P, Rezapour M (1999) A three-year follow up of tension free vaginal tape for surgical treatment of female stress urinary incontinence. Br J Obstet Gynaecol 106:345–350CrossRefPubMed

Nilsson CG, Kuuva N, Falconer C, Rezapour M, Ulmsten U (2001) Long-term results of the tension-free vaginal tape (TVT) procedure for surgical treatment of female stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 12(Suppl 2):S5–S8CrossRefPubMed

Martan A, Masata J, Svabik K (2007) TVT SECUR system—tension-free support of the urethra in women suffering from stress urinary incontinence—technique and initial experience. Ceská Gynekol 72:42–49PubMed

Martan A, Masata J, Svabik K (2007) Initial experience with TVT-Secur system procedure and the reason for persistent stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 18(Suppl 1):S26–S27

Martan A, Svabik K, Masata J, El-Haddad R, Koleska T, Pavlikova M (2008) Initial experience with TVT-Secur system procedure. Int Urogynecol J Pelvic Floor Dysfunct 19(Suppl 1):S10–S11

Hubka P, Masata J, Nanka O, Grim M, Martan A, Zvarova J (2009) Anatomical relationship and fixation of tension-free vaginal tape Secur. Int Urogynecol J Pelvic Floor Dysfunct 20:681–688CrossRefPubMed

Neuman M (2007) Training TVT Secur: the first 150 teaching operations. Int Urogynecol J Pelvic Floor Dysfunct 18(Suppl 1):S27

Rezapour M, Novara G, Meier PA, Holste J, Landgrebe S, Artibani W (2007) A 3-month preclinical trial to assess the performance of a new TVT-like mesh (TVTx) in a sheep model. Int Urogynecol J Pelvic Floor Dysfunct 18:183–187PubMed

10.

Araco F, Gravante G, Sesti F, Piccione E (2009) Tension-free vaginal tape Secur hammock procedure: two additional cases of intraoperative bleeding. Int Urogynecol J Pelvic Floor Dysfunct 20:125CrossRefPubMed

11.

Masata J, Martan A, Svabik K (2008) Severe bleeding from internal obturator muscle following tension-free vaginal tape Secur hammock approach procedure. Int Urogynecol J Pelvic Floor Dysfunct 19:1581–1583CrossRefPubMed

12.

Larsson PG, Teleman P, Persson J (2010) A serious bleeding complication with injury of the corona mortis with the TVT-Secur procedure. Int Urogynecol J Pelvic Floor Dysfunct doi:10.1007/s00192-010-1103-7

13.

FCAT (1998) Terminologia anatomica: international anatomical terminology/FCAT. Thieme, Stuttgart

14.

Albrich S, Naumann G, Skala C, Koelbl H (2007) TVT-SECUR: a novel approach for the treatment of female genuine stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 18(Suppl 1):S25–S26

15.

Debodinance P, Lagrange E, Amblard J, Jacquetin B (2007) TVT SECUR: more and more minimal invasive-preliminary prospective study on 40 cases. Int Urogynecol J Pelvic Floor Dysfunct 18(Suppl 1):S136

16.

Han H, Shukiman I, Lee L (2007) TVT SECUR in treating female stress urinary incontinence: early experience. Int Urogynecol J Pelvic Floor Dysfunct 18(Suppl 1):S184–S185

17.

Karram M, Lucente V, Khandwala S, Nilsson C, Artibani W, Dmochowski R (2007) An evaluation of the Gynecare TVT Secur system (tension-free support for incontinence) for the treatment of stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 18(Suppl 1):S3

18.

Marsh F, Assassa P (2007) An audit of the introduction of TVT Secur in clinical practice. Int Urogynecol J Pelvic Floor Dysfunct 18(Suppl 1):S26

19.

Saltz S, Haff R, Lucente V (2007) Short-term assessment of patients undergoing the new tension free vaginal tape: Secur procedure for treatment of stress urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 18(Suppl 1):S27–S28

20.

Debodinance P, Lagrange E, Amblard J, Lenoble C, Lucot JP, Villet R et al (2008) TVT Secur: more and more minimally invasive. Preliminary prospective study of 110 cases. J Gynecol Obstet Biol Reprod (Paris) 37:229–236

21.

Hubka P, Svabik K, Martan A, Masata J (2010) A serious bleeding complication with injury of the corona mortis with the TVT-Secur procedure: two cases of contact of TVT-S with the corona mortis during cadaver study. Int Urogynecol J Pelvic Floor Dysfunct doi:10.1007/s00192-010-1190-5

Titel: TVT-S in the U position—anatomical study
verfasst von: Petr Hubka
Ondrej Nanka
Alois Martan
Milos Grim
Jana Zvarova
Jaromir Masata
Publikationsdatum: 01.02.2011
Verlag: Springer-Verlag
Erschienen in: International Urogynecology Journal / Ausgabe 2/2011
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-010-1239-5

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TVT-S in the U position—anatomical study

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Results

Conclusions

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