{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T05:01:29Z","timestamp":1792645289305,"version":"4.5.0"},"reference-count":20,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,2,15]],"date-time":"2023-02-15T00:00:00Z","timestamp":1676419200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the use of intraoperative ultrasound (IUS) to achieve a postoperative optimal placement of the tension\u2010free vaginal tape\u2010obturator (TVT\u2010O).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cohort study was performed among women who underwent TVT\u2010O placement. In 25 women, ultrasound was used for the placement, and based on current evidence, the optimal intraoperative and postoperative ultrasound pattern was selected. They were compared with 25 women where IUS was not used.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>IUS increased operative time (by 7.5\u00a0min), and in 36% (9\/25)\u00a0of cases it was necessary to perform some corrections based on the ultrasound findings. After 1\u00a0month, in patients of the IUS group, the tapes were more frequently placed at a distance of 3\u20135\u2009mm (<jats:italic>P<\/jats:italic>\u00a0=\u20090.01), and it was more common for it to be placed between 40% and 70% relative to the urethral length (<jats:italic>P<\/jats:italic>\u00a0=\u20090.011). Of tapes placed with IUS, 76% (met the optimal postoperative ultrasound pattern, as opposed to only 48% placed without IUS (<jats:italic>P<\/jats:italic>\u00a0=\u20090.041). No differences were found in the complications or the functional results at 1\u00a0month post\u2010surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The use of IUS for the placement of TVT\u2010O allows us to position them optimally and avoid erroneous placements, although IUS increases the operative time without improving the functional results and the rate of complications.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.14671","type":"journal-article","created":{"date-parts":[[2023,1,13]],"date-time":"2023-01-13T17:45:28Z","timestamp":1673631928000},"page":"833-838","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Use of intraoperative ultrasound to improve tension\u2010free vaginal tape\u2010obturator placement: A pilot study"],"prefix":"10.1002","volume":"161","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4528-2473","authenticated-orcid":false,"given":"Enrique","family":"Gonz\u00e1lez\u2010D\u00edaz","sequence":"first","affiliation":[{"name":"Pelvic Floor Unit, Department of Obstetrics and Gynecology Complejo Asistencial Universitario de Le\u00f3n  Le\u00f3n Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camino","family":"Fern\u00e1ndez\u00a0Fern\u00e1ndez","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Complejo Asistencial Universitario de Le\u00f3n (CAULE)  Le\u00f3n Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Victoria","family":"Martin\u00a0Corral","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Complejo Asistencial Universitario de Le\u00f3n (CAULE)  Le\u00f3n Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvia Herce","family":"Gutierrez","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Complejo Asistencial Universitario de Le\u00f3n (CAULE)  Le\u00f3n Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,2,15]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2017.04.026"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrurol.2015.183"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2011.07.011"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.2781"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/iju.13262"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-016-3234-y"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-018-3837-6"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-010-1119-z"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20556"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-014-1261-1"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1155\/2015\/538391"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.23805"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02199565"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.22658"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.7863\/jum.2013.32.2.239"},{"key":"e_1_2_8_17_1","unstructured":"Gonzalez\u2010DiazE Fernandez FernandezC.Uso de la ecografia intraquirurgica para la colocacion de las mallas TOT. Estudio preliminar. XVI Congreso de la Sociedad Iberoamericana de Neurourologia y Uro ginecolog\u00eda. Malaga 25\u201327\u2010November\u20102021.https:\/\/congreso2021.sinug.org"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.22459"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.1099"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.2005.00526.x"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/SPV.0b013e318285bbed"}],"container-title":["International Journal of Gynecology &amp; Obstetrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.14671","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ijgo.14671","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ijgo.14671","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,19]],"date-time":"2023-08-19T11:58:45Z","timestamp":1692446325000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1002\/ijgo.14671"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,15]]},"references-count":20,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,6]]}},"alternative-id":["10.1002\/ijgo.14671"],"URL":"https:\/\/doi.org\/10.1002\/ijgo.14671","archive":["Portico"],"relation":{},"ISSN":["0020-7292","1879-3479"],"issn-type":[{"value":"0020-7292","type":"print"},{"value":"1879-3479","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,2,15]]},"assertion":[{"value":"2022-06-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-01-03","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-02-15","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}