dc.creator | García Mejido, José Antonio | es |
dc.creator | Blasco Hernández, Pedro | es |
dc.creator | Fernández Conde, Cristina | es |
dc.creator | García Pombo, Sara | es |
dc.creator | Fernández Palacín, Ana | es |
dc.creator | Borrero González, Carlota | es |
dc.creator | Sáinz Bueno, José Antonio | es |
dc.date.accessioned | 2023-10-02T13:44:32Z | |
dc.date.available | 2023-10-02T13:44:32Z | |
dc.date.issued | 2022 | |
dc.identifier.citation | García Mejido, J.A., Blasco Hernández, P., Fernández Conde, C., García Pombo, S., Fernández Palacín, A., Borrero González, C. y Sáinz Bueno, J.A. (2022). Are Transperineal Ultrasound Parameters Useful to Predict Incontinence in Patients with Single-Incision Mini-Slings?. Tomography, 8 (5), 2556-2564. https://doi.org/10.3390/tomography8050213. | |
dc.identifier.issn | 2379-139X | es |
dc.identifier.issn | 2379-1381 | es |
dc.identifier.uri | https://hdl.handle.net/11441/149286 | |
dc.description.abstract | It would be logical to think that single-incision mini-slings (SIMS) should behave like the
rest of the tension-free vaginal tape and, therefore, to believe that they present a similar ultrasound
appearance, but there are no studies on this matter. Therefore, the main aim of our research is to
determine which ultrasound parameters are associated with stress urinary incontinence (SUI) in
patients carrying SIMS. A prospective observational study was carried out including 94 patients who
were candidates for SUI corrective surgery with SIMS between 1 January 2021 to 31 December 2021
at the Universitary Hospital of Valme (Seville, Spain). A transperineal ultrasound evaluation was
performed (six months after surgery) in order to study: the bladder neck–symphyseal distance, the
posterior urethro–vesical angle, the pubic symphysis–tape gap, the tape–urethral lumen distance,
the sagittal tape angle, the tape position, the concordance of movement between the tape and the
urethra, and the axial tape angle. A total of 92 patients completed the study (63 asymptomatic and
29 symptomatic). Statistical differences were observed in the concordance of movement between the
tape and the urethra (84.1% vs. 25.0%; p: 0.001) and in the axial tape angle at rest (139.3 ± 19.0 vs.
118.3 ± 15.4; p: 0.003) and at Valsalva (145.1 ± 20.2 vs. 159.1 ± 9.0; p: 0.034). Sagittal tape angle at
rest was higher in urge urinary incontinence (UUI) patients (132.5 ± 35.7 vs. 143.3 ± 29.8; p: 0.001)
and mixed urinary incontinence (MUI) patients (132.5 ± 35.7 vs. 157.8 ± 23.6; p: 0.025) compared to
asymptomatic patients. In conclusion, the concordance between the movement of the tape and the
urethra is the most useful ultrasound parameter to define continence in patients with SIMS. | es |
dc.format | application/pdf | es |
dc.format.extent | 9 p. | es |
dc.language.iso | eng | es |
dc.publisher | MDPI | es |
dc.relation.ispartof | Tomography, 8 (5), 2556-2564. | |
dc.rights | Atribución 4.0 Internacional | * |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | * |
dc.subject | 3D transperineal ultrasound mid urethral sling | es |
dc.subject | Ultrasound | es |
dc.subject | Mesh complications | es |
dc.title | Are Transperineal Ultrasound Parameters Useful to Predict Incontinence in Patients with Single-Incision Mini-Slings? | es |
dc.type | info:eu-repo/semantics/article | es |
dcterms.identifier | https://ror.org/03yxnpp24 | |
dc.type.version | info:eu-repo/semantics/publishedVersion | es |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | es |
dc.contributor.affiliation | Universidad de Sevilla. Departamento de Cirugía | es |
dc.contributor.affiliation | Universidad de Sevilla. Departamento de Medicina Preventiva y Salud Pública | es |
dc.relation.publisherversion | https://www.mdpi.com/2379-139X/8/5/213 | es |
dc.identifier.doi | 10.3390/tomography8050213 | es |
dc.journaltitle | Tomography | es |
dc.publication.volumen | 8 | es |
dc.publication.issue | 5 | es |
dc.publication.initialPage | 2556 | es |
dc.publication.endPage | 2564 | es |