Anatomical relationship and fixation of tension-free vaginal tape Secur

Objective The objective is to describe the anatomical localisation of tension-free vaginal tape Secur (TVT-S) in the H-position regarding possible injury of vessels and fixation site. Methods We placed TVT-S inserters bilaterally in 14 embalmed and five fresh frozen female bodies. After dissection,...

Full description

Saved in:
Bibliographic Details
Published in:International Urogynecology Journal 2009-06, Vol.20 (6), p.681-688
Main Authors: Hubka, Petr, Masata, Jaromir, Nanka, Ondrej, Grim, Milos, Martan, Alois, Zvarova, Jana
Format: Article
Language:English
Subjects:
Gynecology
Medicine
Medicine & Public Health
Original Article
Standard deviation
Urinary incontinence
Urology
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Objective The objective is to describe the anatomical localisation of tension-free vaginal tape Secur (TVT-S) in the H-position regarding possible injury of vessels and fixation site. Methods We placed TVT-S inserters bilaterally in 14 embalmed and five fresh frozen female bodies. After dissection, we measured distances from the obturator bundle (obturator nerve and obturator vessels). Results In embalmed bodies, the mean distance of TVT-S from the obturator bundle was 3.05 cm (standard deviation (SD) 1.18 cm) on the left, 3.07 cm (SD 1.17 cm) on the right. Perforation of the fascia of obturator internus muscle occurred in 46.4%. In fresh frozen bodies, results were fundamentally similar. Injury of variable vessels can occur. Conclusion There is a minimal risk of injury to the obturator bundle during TVT-S; however, there is a significant risk of inserting the TVT-S inserter into the obturator fossa. The position of TVT-S does not change significantly after legs mal-positioning.
ISSN:0937-3462
1433-3023
DOI:10.1007/s00192-009-0815-z