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TVT-S in the U Position - Anatomical Study
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SYSNO ASEP 0358315 Document Type J - Journal Article R&D Document Type Journal Article Subsidiary J Článek ve WOS Title TVT-S in the U Position - Anatomical Study Author(s) Hubka, P. (CZ)
Naňka, O. (CZ)
Martan, A. (CZ)
Grim, M. (CZ)
Zvárová, Jana (UIVT-O) SAI, RID, ORCID
Mašata, J. (CZ)Source Title International Urogynecology Journal - ISSN 0937-3462
Roč. 22, č. 2 (2011), s. 241-246Number of pages 6 s. Language eng - English Country GB - United Kingdom Keywords anatomy ; female ; obturator bundle ; stress urinary incontinence ; tension-free vaginal tape Subject RIV FK - Gynaecology, Childbirth CEZ AV0Z10300504 - UIVT-O (2005-2011) UT WOS 000286467700017 EID SCOPUS 79951642766 DOI 10.1007/s00192-010-1239-5 Annotation INTRODUCTION AND HYPOTHESIS: The objective is to describe the anatomical position of tension-free vaginal tape Secur (TVT-S) in the U position regarding possible injury and fixation site. METHODS: We placed TVT-S inserters bilaterally in 13 embalmed and five fresh frozen female bodies. After dissection, we measured distances from the obturator bundle. RESULTS: In embalmed bodies, the mean distance of TVT-S from the obturator bundle was 2.83 cm (standard deviation (SD) 0.87 cm) on the left, 2.92 cm (SD 1.24 cm) on the right. Perforation of the fascia of obturator internus muscle occurred in 38.5%. In fresh frozen bodies, results were fundamentally similar (p > 0.05). CONCLUSIONS: There is a risk of injury to the obturator bundle and urinary bladder during TVT-S; however, there is a significant risk of inserting the TVT-S inserter outside the obturator internus muscle (into the lesser pelvis). The position of TVT-S does not change significantly after legs mal-positioning. Workplace Institute of Computer Science Contact Tereza Šírová, sirova@cs.cas.cz, Tel.: 266 053 800 Year of Publishing 2012
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