Perineal ultrasound evaluation of urethral mobility after the TVT-O procedure
Di Pietto, L.; Scaffa, C.; Lambiase, A.; Torella, M.; Sciorio, C.; Dato, E.; Nocerino, A.; Di Petrillo, M.L.; Fusco, R.; Rotondi, M.; Messalli, E.M.; Colacurci, N.
Clinical and Experimental Obstetrics and Gynecology 37(2): 131-134
2010
ISSN/ISBN: 0390-6663 PMID: 21077505 Document Number: 644772
The aim of study was to assess, by means of perineal ultrasound (US), women treated with the trans-obturator suburethral sling procedure for urinary stress incontinence (USI). Twelve women with USI and urethral hypermobility were enrolled. Static and dynamic perineal US of urethral mobility was performed before and after tension-free vaginal tape opturator (TVT-O) procedure: US parameters evaluated were pubis-urethra distance and inclination angle of the urethral axis. The Valsalva stress US evaluation showed a return to normal range of the pubic urethral distance in all cases (p = 0.0001); also a correction of the angle of inclination of the urethral axis occurred in all patients (p < 0.0001). Our results propose the use of perineal US for patients with USI as an additional diagnostic tool and a means for postsurgical follow-up.