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May the length of the surgical midurethra be longer than the anatomical midurethra? A prospective anatomic study   
Yazarlar
Sahin Bagbanci
Yeliz Dadali
Doç. Dr. Mümtaz DADALI Doç. Dr. Mümtaz DADALI
Kırşehir Ahi Evran Üniversitesi
Samet Cetinkaya
Ayhan Karabulut
Levent Emir
Özet
Objective: To compare the mesh location to the anatomic midurethra in midurethral sling (MUS) patients with successful results, and find out if there is a difference in the lengths of the surgical and anatomic mid-urethra
Design: Prospective study
Settings: Tertiary University Hospital
Subjects: Seventy-two successfully treated stress incontinence patients via transobturatory tape operation
Intervention: In this study, all cases with successful results were prospectively phone called, and a translabial ultrasonographic examination was performed.
Main outcome measures: The length of the urethra and the suburethral mesh, the distance from the bladder neck and external urethral meatus to the edges of the mesh, the deviation of the midpoint of mesh from the midpoint of the urethra, and the posterior urethrovesical angle were all measured.
Results: The study group consisted of 72 females. The midpoint of the meshes was at the exact midpoint of the urethra without any deviation only in six patients, and it was deviated in 66 patients. Meshes were in the borders of the midurethra in 41 patients, and meshes were partially slipping out of the anatomic mid-urethral borders at different rates in a total of 25 patients. Slipping from the distal and proximal edges of the midurethra was 2.1-26.7% (13.2 +/- 7.6%) and 2.4-30% (12.3 +/- 11%) of the midurethral lengths of patients, respectively.
Conclusions: In this anatomical study, the distribution of the zone where the mesh is localized shows that to achieve a successful result, the targeted anatomic region of the urethra is longer than the mid one-third of the urethra.
Anahtar Kelimeler
anatomic midurethra | surgical midurethra | transobturator tape
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı KUWAIT MEDICAL JOURNAL
Dergi ISSN 1607-8047
Dergi Tarandığı Indeksler SCI-Expanded
Dergi Grubu Q4
Makale Dili İngilizce
Basım Tarihi 03-2023
Cilt No 55
Sayı 1
Sayfalar 6 / 11
Makale Linki https://www.webofscience.com/wos/woscc/full-record/WOS:001087350900002
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