The authors declare that they have no competing interests.
LP performed surgery and conceived and designed the study, was responsible with acquisition of data, analysis and interpretation of data. IS helped with drafting the manuscript and gave the final approval of the version to be published. RI participated in the design of the study, helped with drafting the manuscript. DG performed the ultrasound exam and helped with drafting the manuscript and revising it critically for important intellectual content. OM helped with drafting the manuscript and gave the final approval of the version to be published. All authors read and approved the final manuscript.
L. Pirtea–PhD and Senior Consultant of Department of Obstetrics and Gynecology Timisoara County Hospital. The author presents interest and expertise in urogynecology, and has published many articles in the field of urogynecology.
I. Sas–PhD, Senior Consultant and associate Professor of Department of Obstetrics and Gynecology Timisoara County Hospital
R. Ilina–PhD and Senior Consultant of Department of Surgery Timisoara County Hospital
D. Grigoras–Professor, Senior Consultant and Chief of Department of Obstetrics and Gynecology Timisoara County Hospital
O. Mazilu–Professor, Senior Consultant and Chief of Department of Surgery Timisoara County Hospital
To describe a new type of incision of the vagina during transobturator sling procedure and to evaluate by ultrasound the tape position at 3, 6 and 12 months after surgery.
We conducted a prospective study including 51 patients with urinary stress incontinence who underwent sling procedure using the transversal vaginal incision. Tape position was evaluated by ultrasound at 3, 6 and 12 months after surgery and expressed as a percentage of the urethral length (the proximal third of the urethral length 0–39 %, the middle third 40–60 %, and the distal third 60–100 %).
Informed consent was obtained from all patients prior to their inclusion in the study. All procedures have been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments and were approved by the Institutional Review Board and Ethical Committee of “Victor Babeş” University of Medicine and Pharmacy Timisoara before the beginning of the study (no 7/17.04.2012).
At 3 months after surgery, 3.92 % of the slings were located in the proximal third of the urethra, 88.23 % in the middle third of the urethra and 7.84 % in the distal third. At 6 and 12 months after surgery we obtained similar results: 9.81 % of the slings were located in the proximal third of the urethra, 82.35 % in the middle third and 7.84 % in the distal third of the urethra.
The transversal incision of the vagina offers a minimal dissection along the long axis of the urethra favoring the remaining of the tape in the middle third of the urethra.
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Bogusiewicz M, Monist M, Gałczyński K, Woźniak M, Wieczorek AP, Rechberger T. Both the middle and distal sections of the urethra may be regarded as optimal targets for ‘outside-in’ transobturator tape placement. World J. Urol. 2014; Feb 17. [Epub ahead of print]. J Ultrasound Med. 2013;32(2):239–45. CrossRef
- Transversal incision of the vagina favors the remaining of the tape in the middle-third urethra compared to longitudinal incision during transobturator sling procedures for stress urinary incontinence
- BioMed Central
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