Abstract
Introduction and hypothesisSurgical treatment using the mid-urethral tape has become a gold standard in the treatment of stress urinary incontinence in women. Many urogynecologists use ultrasound during the postoperative follow-up. The aim of this study was to investigate whether the position of the tape in the mid- or distal-urethra could influence the subjective assessment after surgery in 1-month control based on questionnaires of genitourinary symptoms, UDI6-SF and VAS scale.MethodsA group of 76 patients using a synthetic tension-free retropubic vaginal tape after anti-incontinence surgery was retrospectively included in this study. In a postoperative follow-up, the synthetic tape detection was performed using introital ultrasound, and its position was determined as a quotient T/U (T = distance between the external urethral orifice and the lower edge of the tape, U = urethral length). The patients were divided into two groups of 38 patients: one group with the position of the tape in the distal urethra (T/U ≤ 0.24) and the other group with the tape localised in the mid-urethra (T/U = 0.25–0.37). The correlation between the height of the tape position and the subjective assessment was evaluated in both groups of patients in the 1-month control.ResultsNo association was found between the height of the tape position in a group of patients after anti-incontinence surgery with a T/U value not exceeding 0.375 and the subjective assessment or the value of Vres.ConclusionsThe height of the tape position, with the T/U not exceeding 0.375, has no impact on the subjective assessment of the surgical anti-incontinence treatment in 1-month control.
Highlights
Introduction and hypothesisSurgical treatment using the mid-urethral tape has become a gold standard in the treatment of stress urinary incontinence in women
There was no correlation between the height of the tape position in relation to the urethra in a group of patients with a T/U value not exceeding 0.375 and the subjective assessment
We found no differences in subjective assessment among patients with tape located at different heights ranging from 9 to 37.5% of the urethral length in 1 – month control
Summary
Introduction and hypothesisSurgical treatment using the mid-urethral tape has become a gold standard in the treatment of stress urinary incontinence in women. Surgical treatment of stress urinary incontinence in women using a polypropylene tape inserted without tension under the mid-urethra has been one of the most commonly employed and extensively studied surgeries from its introduction in 1995 till [1, 2] This minimally invasive procedure, described as ambulatory, is very effective with cure rates up to 93% at 6 months and 86% at 3 years [3, 4]. The same observations were described by others [6, 7] The aim of this retrospective study was to investigate whether the position of the tape in the mid- or distal-urethra, that is, according to our previous study and reports from other investigators to be an optimal place, with the lower edge of the tape < 37.5%, could influence the subjective assessment after surgery in 1-month control
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