Abstract

Objective To determine morphologic differences between Monarc and TVT-O procedures in axial and coronal planes by three- and four-dimensional (3D and 4D) ultrasound. Study design Retrospective chart audits and ultrasound analyses were conducted on 128 women who had undergone either Monarc or TVT-O procedures for urodynamic stress incontinence. Thirty matched pairs of the two successful procedures were randomly selected and compared. Matched variables were age, parity, body mass index, cesarean status, menopausal status, and primary surgeries. Six-month postoperative 3D and 4D ultrasound results obtained at rest, on straining, and during coughing in these 60 women were analyzed. Assessed ultrasound parameters included the axial tape urethral distance (aTUD), axial central urethral echolucent area (aUCEA), axial tape angle (aTA), and coronal tape angle (cTA), all of which were measured at three equidistant points along the tapes. Paired t-tests were used to compare differences in ultrasound parameters between women after the two procedures and a P value

Original languageEnglish
Pages (from-to)402-407
Number of pages6
JournalEuropean Journal of Obstetrics Gynecology and Reproductive Biology
Volume169
Issue number2
DOIs
Publication statusPublished - Jul 2013

Keywords

  • Introital ultrasound Three-/four-dimensional ultrasound Transobturator suburethral tape Tape tension Tape angulation

ASJC Scopus subject areas

  • Obstetrics and Gynaecology
  • Reproductive Medicine

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