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Title of Journal: Int Urogynecol J

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Abbravation: International Urogynecology Journal

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Springer-Verlag

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DOI

10.1016/0168-1591(86)90127-9

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1433-3023

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TVT On Midurethral Tape Positioning and its Influ

Authors: H J Kaum F Wolff
Publish Date: 2014/03/18
Volume: 13, Issue: 2, Pages: 110-115
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Abstract

All known original and subsequent publications describing the treatment of stress urinary incontinence by means of tensionfree vaginal tape TVT assert that fixing the tape in a midurethral position is an absolute requirement for restoring continence and avoiding bladder voiding disorders These studies assume that TVT works by replacing defective pubourethral ligaments inserting at the midurethra In 20 patients we intraoperatively marked the suburethral position of the tape by metal clips and Xrayproof string and documented this postoperatively by Xray images In most cases the tape was located in the proximal third of the urethra which did not cause a higher rate of bladder voiding disorders All 20 patients became continent through the operation We do not contest the efficiency of the TVT procedure but we disprove first that correctly performed operations always result in the midurethral location of the tape and secondly that the midurethral position is decisive for its success

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  2. Durability of Success after Rectocele Repair
  3. A validated self-administered female pelvic floor questionnaire
  4. A validated self-administered female pelvic floor questionnaire
  5. Risk of postoperative urinary tract infections following midurethral sling operations in women undergoing hysterectomy
  6. Assessment of TVT efficacy in the management of patients with genuine stress incontinence with the use of epidural vs intravenous anesthesia
  7. Duloxetine 1 year on: the long-term outcome of a cohort of women prescribed duloxetine
  8. Single incision mini-sling versus a transobutaror sling: a comparative study on MiniArc™ and Monarc™ slings
  9. Office Assessment of Patient Outcome of Pharmacologic Therapy for Urge Incontinence
  10. Laser welding of vesicovaginal fistula—outcome analysis and long-term outcome: single-centre experience
  11. Outcomes and follow-up after obstetric anal sphincter injuries
  12. Laparoscopic sacral colpoperineopexy: abdominal versus abdominal–vaginal posterior graft attachment
  13. Intrasphincteric injections of autologous muscular cells in women with refractory stress urinary incontinence: a prospective study
  14. Prospective evaluation of outcome of vaginal pessaries versus surgery in women with symptomatic pelvic organ prolapse
  15. Urinary nerve growth factor correlates with the severity of urgency and pain
  16. Related factors of urge, stress, mixed urinary incontinence and overactive bladder in reproductive age womenin Tabriz, Iran : a cross-sectional study
  17. Recurrent pelvic organ prolapse in a woman with bladder exstrophy: a case report of surgical management and review of the literature
  18. The impact of simulated birth trauma and ovariectomy on the gene expression of detrusor muscarinic receptors in female rats
  19. Classification of mesh fiber exposure: comment
  20. The clinical characteristics of female patients with Fournier’s gangrene
  21. Large vesicovaginal fistula in women with pelvic organ prolapse: the role of colpocleisis revisited
  22. Collagen scaffold: a treatment for large mesh exposure following vaginal prolapse repair
  23. Shoulder dystocia and associated manoeuvres as risk factors for perineal trauma
  24. Fibroblasts from women with pelvic organ prolapse show differential mechanoresponses depending on surface substrates
  25. Important Clinical Outcomes in Urogynecology: Views of Patients, Nurses and Medical Staff
  26. The effect of sacral neuromodulation on pregnancy: a systematic review
  27. Incontinence medication response relates to the female urinary microbiota
  28. Short-term natural history in women with symptoms indicative of pelvic organ prolapse
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  30. Polypropylene mesh slings and cancer: An incidental finding or association?
  31. The Role of the Levator Ani Muscle in Evacuation, Sexual Performance and Pelvic Floor Disorders
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  33. The Prevalence of Urinary Tract Infections in Patients with Gestational Diabetes Mellitus
  34. Foreword: Sacral nerve stimulation now and in the future
  35. Long-term anatomical and functional assessment of trans-vaginal cystocele repair using a tension-free polypropylene mesh
  36. Incontinence during intercourse: myths unravelled
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  38. Risk factors for painful bladder syndrome in women seeking gynecologic care
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  40. Predictors of outcomes in the treatment of urge urinary incontinence in women
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  55. Laparoscopic repair of vesicouterine fistula—a case report
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