Anatomical path of the tension-free vaginal tape: reassessing current teachings.
Am J Obstet Gynecol
; 195(6): 1809-13, 2006 Dec.
Article
em En
| MEDLINE
| ID: mdl-17132484
ABSTRACT
OBJECTIVE:
The objective of the study was to revisit the anatomical path of the tension-free vaginal tape and better describe its relationship to the perineal membrane and other important anatomic landmarks. STUDYDESIGN:
Dissections of the anterior perineal triangle, periurethral, and retropubic spaces were performed in 24 unembalmed female cadavers following placement of the tension-free vaginal tape to identify the sling's relationship to the perineal membrane, periurethral muscles, and the arcus tendineus fascia pelvis.RESULTS:
In 100% of specimens, the device passed cephalad to the perineal membrane. The urethrovaginal sphincter muscle was perforated in 2 of the specimens. The sling passed lateral to the arcus tendineus and perforated the pubococcygeus muscle in 6 (25%) of the cadavers. In the remaining 18 (75%) specimens, the mesh was medial to the arcus tendineus and penetrated the periurethral connective tissue.CONCLUSION:
The assertion that the tension-free vaginal tape perforates the perineal membrane is incorrect.
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Base de dados:
MEDLINE
Assunto principal:
Períneo
/
Uretra
/
Vagina
/
Fita Cirúrgica
Idioma:
En
Ano de publicação:
2006
Tipo de documento:
Article