Measurement of transurethral bladder neck displacement during tension-free vaginal tape procedure

Shameem A. Abbasy*, Kimberly Kenton, Linda Brubaker, Elizabeth R. Mueller

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

Introduction and hypothesis: The rigid catheter guide is used during the tension-free vaginal tape (TVT) procedure to direct the bladder neck away from the retropubic passage of the sling arm. Our aim was to measure, using transperineal ultrasound, the amount of bladder neck displacement by the rigid catheter guide during TVT placement. Methods: This is a prospective cohort of 28 patients undergoing the TVT procedure, with or without concomitant pelvic organ prolapse repair. Spearman's correlation was used to analyze the bladder neck displacement from the midline. Results: The median right-sided bladder neck displacement distance was 1.4 cm (0.6-2.0), and the median left-sided bladder neck displacement distance was 1.4 cm (0.8-2.0). The overall perforation rate was 14% (4/28). Conclusions: Bladder neck displacement with the Mandarin guide results in ̃1.4 cm of lateral movement.

Original languageEnglish (US)
Pages (from-to)721-724
Number of pages4
JournalInternational Urogynecology Journal
Volume22
Issue number6
DOIs
StatePublished - Jun 2011

Keywords

  • Complications
  • Perforation
  • Tension-free vaginal tape
  • Ultrasound

ASJC Scopus subject areas

  • Obstetrics and Gynecology
  • Urology

Fingerprint Dive into the research topics of 'Measurement of transurethral bladder neck displacement during tension-free vaginal tape procedure'. Together they form a unique fingerprint.

Cite this