{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T21:43:33Z","timestamp":1791409413505,"version":"4.3.3"},"reference-count":23,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T00:00:00Z","timestamp":1787616000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T00:00:00Z","timestamp":1787616000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study investigated the postoperative sonographic characteristics of polyvinylidene fluoride (PVDF) suburethral tape used to treat stress urinary incontinence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>We conducted a retrospective study at a tertiary urogynaecological clinic by reviewing the data of 20 matched pairs of patients who underwent mid\u2010urethral sling surgery using either polypropylene (PP) or PVDF suburethral tapes. Three months after surgery, we performed pelvic ultrasound, conducted in\u2010person interviews, and administered a validated questionnaire. Ultrasound was used to evaluate the urethral location of the tape in relation to the entire urethra, any urethral encroachment at rest, and the interaction between the tape and urethra during the Valsalva maneuver.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      At the 3\u2010month postoperative evaluation, the median urethral position of the tape did not differ significantly between the two groups (PVDF: 63rd percentile; PP: 61st percentile;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.342). Urethral encroachment at rest was observed in 5% (1\/20) of patients in the PVDF group, compared to 65% (13\/20) in the PP group, which was statistically significant (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                    <jats:p>\n                      During the Valsalva maneuver, dynamic urethral kinking occurred in 10% (2\/20) of the PVDF group and 30% (6\/20) of the PP group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.125). Furthermore, no significant correlation was identified between the static characteristics of the tape and its dynamic interactions within the PVDF group (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.335).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>PVDF demonstrates enhanced safety and efficacy, suggesting its potential as a superior material for mid\u2010urethral sling surgeries. Further research with a larger sample size and long\u2010term follow\u2010up is necessary to validate these findings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/nau.70427","type":"journal-article","created":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T06:24:39Z","timestamp":1787725479000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Ultrasonographic Findings of Successful Polyvinylidene Fluoride Mid\u2010Urethral Sling Surgery and Their Clinical Relevance"],"prefix":"10.1002","author":[{"given":"Wen\u2010Chen","family":"Huang","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Cathay General Hospital Taipei Taiwan"},{"name":"Department of Obstetrics and Gynecology, School of Medicine, College of Medicine Taipei Medical University Taipei Taiwan"},{"name":"Department of Obstetrics and Gynecology Sijhih Cathay General Hospital Taipei Taiwan"},{"name":"Department of Obstetrics and Gynecology, School of Medicine National Tsing Hua University Hsinchu Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evelyn","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Chung Shan Medical University Hospital  Taichung Taiwan"},{"name":"Department of Obstetrics and Gynecology, School of Medicine, College of Medicine Chung Shan Medical University  Taichung Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6239-1391","authenticated-orcid":false,"given":"Jenn\u2010Ming","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Puli Christian Hospital Nantou Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,25]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"crossref","first-page":"1874","DOI":"10.1002\/nau.24083","article-title":"Medium\u2010Term Outcome of Laparoscopic Sacrocolpopexy Using Polyvinylidene Fluoride as Compared to a Hybrid Polyglecaprone and Polypropylene Mesh: A Matched Control Study","volume":"38","author":"Callewaert G.","year":"2019","journal-title":"Neurourology and Urodynamics"},{"key":"e_1_2_12_3_1","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1016\/j.ijsu.2017.02.006","article-title":"Transvaginal PVDF\u2010Mesh for Cystocele Repair: A Cohort Study","volume":"39","author":"Barski D.","year":"2017","journal-title":"International Journal of Surgery (London, England)"},{"key":"e_1_2_12_4_1","doi-asserted-by":"crossref","first-page":"3487","DOI":"10.1016\/S0142-9612(02)00070-4","article-title":"PVDF as a New Polymer for the Construction of Surgical Meshes","volume":"23","author":"Klinge U.","year":"2002","journal-title":"Biomaterials"},{"key":"e_1_2_12_5_1","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1007\/s10029-008-0435-4","article-title":"Polyvinylidene Fluoride: A Suitable Mesh Material for Laparoscopic Incisional and Parastomal Hernia Repair! A Prospective, Observational Study With 344 Patients","volume":"13","author":"Berger D.","year":"2009","journal-title":"Hernia"},{"key":"e_1_2_12_6_1","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1016\/j.jmbbm.2015.10.015","article-title":"Immediate Postoperative Changes in Synthetic Meshes\u2014In Vivo Measurements","volume":"55","author":"Sindhwani N.","year":"2015","journal-title":"Journal of the Mechanical Behavior of Biomedical Materials"},{"key":"e_1_2_12_7_1","doi-asserted-by":"crossref","first-page":"2965","DOI":"10.1002\/nau.23807","article-title":"Mid Urethral Support is Also Necessary for Reflex Closure of the Urethra","volume":"37","author":"Vries A. M.","year":"2018","journal-title":"Neurourology and Urodynamics"},{"key":"e_1_2_12_8_1","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1111\/j.1600-0412.1990.tb08027.x","article-title":"An Integral Theory of Female Urinary Incontinence. Experimental and Clinical Considerations","volume":"153","author":"Petros P. E.","year":"1990","journal-title":"Acta Obstetricia et Gynecologica Scandinavica Supplement"},{"key":"e_1_2_12_9_1","doi-asserted-by":"crossref","first-page":"211","DOI":"10.1016\/j.juro.2008.09.033","article-title":"Correlation of Morphological Alterations and Functional Impairment of the Tension\u2010Free Vaginal Tape Obturator Procedure","volume":"181","author":"Yang J. M.","year":"2009","journal-title":"Journal of Urology"},{"key":"e_1_2_12_10_1","doi-asserted-by":"crossref","first-page":"2081","DOI":"10.1016\/j.juro.2008.07.030","article-title":"Dynamic Interaction Involved in the Tension\u2010Free Vaginal Tape Obturator Procedure","volume":"180","author":"Yang J. M.","year":"2008","journal-title":"Journal of Urology"},{"key":"e_1_2_12_11_1","doi-asserted-by":"crossref","first-page":"485","DOI":"10.1002\/nau.20556","article-title":"Tape Functionality: Sonographic Tape Characteristics and Outcome After TVT Incontinence Surgery","volume":"27","author":"Kociszewski J.","year":"2008","journal-title":"Neurourology and Urodynamics"},{"key":"e_1_2_12_12_1","doi-asserted-by":"crossref","first-page":"795","DOI":"10.1007\/s00192-010-1119-z","article-title":"Tape Functionality: Position, Change in Shape, and Outcome After TVT Procedure\u2014Mid\u2010Term Results","volume":"21","author":"Kociszewski J.","year":"2010","journal-title":"Int Urogynecol J"},{"key":"e_1_2_12_13_1","doi-asserted-by":"crossref","DOI":"10.1155\/2015\/538391","article-title":"Complications Following Tension\u2010Free Vaginal Tapes: Accurate Diagnosis and Complications Management","volume":"2015","author":"Kociszewski J.","year":"2015","journal-title":"BioMed Research International"},{"key":"e_1_2_12_14_1","doi-asserted-by":"crossref","DOI":"10.1155\/2014\/181035","article-title":"Visualization of Polypropylene and Polyvinylidene Fluoride Slings in Perineal Ultrasound and Correlation With Clinical Outcome","volume":"2014","author":"Najjari L.","year":"2014","journal-title":"BioMed Research International"},{"key":"e_1_2_12_15_1","doi-asserted-by":"crossref","first-page":"671","DOI":"10.1016\/j.urology.2003.10.070","article-title":"Ultrasound Assessment of Mid\u2010Urethra Tape at Three\u2010Year Follow\u2010Up After Tension\u2010Free Vaginal Tape Procedure","volume":"63","author":"Lo T. S.","year":"2004","journal-title":"Urology"},{"key":"e_1_2_12_16_1","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1002\/uog.985","article-title":"The \u2018Iris Effect\u2019: How Two\u2010Dimensional and Three\u2010Dimensional Ultrasound Can Help Us Understand Anti\u2010Incontinence Procedures","volume":"23","author":"Dietz H. P.","year":"2004","journal-title":"Ultrasound in Obstetrics and Gynecology"},{"key":"e_1_2_12_17_1","doi-asserted-by":"crossref","first-page":"904","DOI":"10.1111\/j.0001-6349.2004.00198.x","article-title":"How Important is TVT Location?","volume":"83","author":"Dietz H. P.","year":"2004","journal-title":"Acta Obstetricia Et Gynecologica Scandinavica"},{"key":"e_1_2_12_18_1","doi-asserted-by":"crossref","first-page":"699","DOI":"10.1002\/uog.10153","article-title":"Functional and Morphological Differences Following Monarc and TVT\u2010O Procedures","volume":"40","author":"Huang W. C.","year":"2012","journal-title":"Ultrasound in Obstetrics and Gynecology"},{"key":"e_1_2_12_19_1","doi-asserted-by":"crossref","first-page":"458","DOI":"10.1002\/uog.10086","article-title":"Correlation of Tape Location and Tension With Surgical Outcome After Transobturator Suburethral Tape Procedures","volume":"39","author":"Yang J. M.","year":"2012","journal-title":"Ultrasound in Obstetrics and Gynecology"},{"key":"e_1_2_12_20_1","doi-asserted-by":"crossref","first-page":"302","DOI":"10.1002\/uog.995","article-title":"Sonographic Findings in a Case of Voiding Dysfunction Secondary to the Tension\u2010Free Vaginal Tape (TVT) Procedure","volume":"23","author":"Yang J. 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S.","year":"1995","journal-title":"Continence Program for Women Research Group Neurourol Urodyn"},{"key":"e_1_2_12_23_1","doi-asserted-by":"crossref","first-page":"1079","DOI":"10.1002\/jbm.a.34767","article-title":"Elongation of Textile Pelvic Floor Implants under Load Is Related to Complete Loss of Effective Porosity, Thereby Favoring Incorporation in Scar Plates","volume":"102","author":"Otto J.","year":"2014","journal-title":"Journal of Biomedical Materials Research Part A"},{"key":"e_1_2_12_24_1","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1002\/nau.24586","article-title":"Polypropylene and Polyvinylidene Fluoride Transobturator Slings for the Treatment of Female Stress Urinary Incontinence: 1\u2010Year Outcomes From a Multicentre Randomized Trial","volume":"40","author":"Sabadell J.","year":"2021","journal-title":"Neurourology and Urodynamics"}],"container-title":["Neurourology and Urodynamics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nau.70427","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/nau.70427","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nau.70427","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T06:24:43Z","timestamp":1787725483000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/nau.70427"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,25]]},"references-count":23,"alternative-id":["10.1002\/nau.70427"],"URL":"https:\/\/doi.org\/10.1002\/nau.70427","archive":["Portico"],"relation":{},"ISSN":["0733-2467","1520-6777"],"issn-type":[{"value":"0733-2467","type":"print"},{"value":"1520-6777","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,25]]},"assertion":[{"value":"2025-01-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-25","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"nau.70427"}}