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Anatomical path of the tension-free vaginal tape: reassessing current teachings.
Rahn, David D; Marinis, Spyridon I; Schaffer, Joseph I; Corton, Marlene M.
Afiliação
  • Rahn DD; Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
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. STUDY

DESIGN:

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.
Assuntos
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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
Buscar no Google
Base de dados: MEDLINE Assunto principal: Períneo / Uretra / Vagina / Fita Cirúrgica Idioma: En Ano de publicação: 2006 Tipo de documento: Article