{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T20:57:36Z","timestamp":1790888256421,"version":"4.1.0"},"reference-count":31,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2021,6,30]],"date-time":"2021-06-30T00:00:00Z","timestamp":1625011200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,6,30]],"date-time":"2021-06-30T00:00:00Z","timestamp":1625011200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100010607","name":"Universit\u00e0 degli Studi di Perugia","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100010607","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Int Urogynecol J"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Introduction and hypothesis<\/jats:title>\n                <jats:p>The aims of this study were to evaluate by transperineal ultrasound if there were ultrasound-detectable changes over time in the dynamic behavior of the sling in patients who underwent transobturator tape (TOT), and to evaluate if dynamic translabial ultrasonography recognized factors that may be associated with failed surgery.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>This was a single-center prospective study. We included women who underwent \u201cout-in\u201d TOT for stress urinary incontinence (SUI). A dynamic translabial ultrasound was performed 6\u00a0months post-surgery and again at the last visit. The objective cure for SUI was defined as the absence of urine leakage during the stress test. We evaluated the bladder neck mobility at rest and during Valsalva; the position of the mesh along the urethra; the concordance of urethral movement with the sling during Valsalva; the symmetry of the lateral arms of the sling during straining; and the presence or absence of bladder neck funneling.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>From December 2012 to February 2016, 80 consecutive patients were included. Six months after surgery, incontinent women compared with continent women had the sling in a proximal or distal position, that moved discordantly with the urethra (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001), with asymmetry arm and bladder neck funneling (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001). Continent patients had a significant improvement of urethrocele grade both at rest (<jats:italic>p<\/jats:italic>\u2009=\u20090.036) and during Valsalva (<jats:italic>p<\/jats:italic>\u2009=\u20090.045).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Technical and positioning errors can lead to the failure of anti-incontinence surgical treatment. Translabial ultrasound allows the correct positioning of the sling to be evaluated and any errors that need to be analyzed in order to then solve the failure.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00192-021-04897-6","type":"journal-article","created":{"date-parts":[[2021,6,30]],"date-time":"2021-06-30T09:02:55Z","timestamp":1625043775000},"page":"1023-1030","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":16,"title":["Translabial ultrasound: a non-invasive technique for assessing \u201ctechnical errors\u201d after TOT failure"],"prefix":"10.1007","volume":"33","author":[{"given":"Ester","family":"Illiano","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9291-2426","authenticated-orcid":false,"given":"Francesco","family":"Trama","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincenzo","family":"Li Marzi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vito","family":"Mancini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Carrieri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia Coll\u00e0","family":"Ruvolo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gianluigi","family":"Califano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Consuelo","family":"Fabi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Brancorsini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisabetta","family":"Costantini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,6,30]]},"reference":[{"key":"4897_CR1","doi-asserted-by":"publisher","first-page":"2286","DOI":"10.1016\/j.juro.2008.01.098","volume":"179","author":"JOL DeLancey","year":"2008","unstructured":"DeLancey JOL, Trowbridge ER, Miller JM, et al. Stress urinary incontinence: relative importance of urethral support and urethral closure pressure. Urology. 2008;179:2286\u201390.","journal-title":"Urology"},{"key":"4897_CR2","doi-asserted-by":"publisher","first-page":"266","DOI":"10.1196\/annals.1389.034","volume":"1101","author":"J Ashton-Miller","year":"2007","unstructured":"Ashton-Miller J, Delancey JOL. Functional anatomy of the female pelvic floor. Ann N Y Acad Sci. 2007;1101:266\u201396.","journal-title":"Ann N Y Acad Sci"},{"issue":"4","key":"4897_CR3","doi-asserted-by":"publisher","first-page":"e45","DOI":"10.1016\/j.eururo.2010.06.033","volume":"58","author":"PE Petros","year":"2010","unstructured":"Petros PE, Lovegrove Jones RC, Qiyu P, et al. Mechanisms of pelvic floor muscle function and the effect on the urethra during a cough. Eur Urol. 2010;58(4):e45\u20136.","journal-title":"Eur Urol"},{"key":"4897_CR4","doi-asserted-by":"publisher","first-page":"1713","DOI":"10.1016\/S0002-9378(12)91840-2","volume":"170","author":"JO DeLancey","year":"1994","unstructured":"DeLancey JO. Structural support of the urethra as it relates to stress urinary incontinence: the hammock hypothesis. Am J Obstet Gynecol. 1994;170:1713\u201320.","journal-title":"Am J Obstet Gynecol"},{"key":"4897_CR5","doi-asserted-by":"publisher","first-page":"7","DOI":"10.1111\/j.1600-0412.1990.tb08027.x","volume":"153","author":"PE Petros","year":"1990","unstructured":"Petros PE, Ulmsten UI. An integral theory of female urinary incontinence: experimental and clinical considerations. Acta Obstet Gynecol Scand Suppl. 1990;153:7.","journal-title":"Acta Obstet Gynecol Scand Suppl"},{"key":"4897_CR6","doi-asserted-by":"publisher","first-page":"81","DOI":"10.1007\/BF01902378","volume":"7","author":"U Ulmsten","year":"1996","unstructured":"Ulmsten U, Henriksson L, Johnson P, et al. An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 1996;7:81.","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct"},{"key":"4897_CR7","doi-asserted-by":"publisher","first-page":"48","DOI":"10.1016\/j.urology.2019.03.003","volume":"129","author":"F Natale","year":"2019","unstructured":"Natale F, Illiano E, Marchesi A, et al. Transobturator tape: over 10 years follow-up. Urology. 2019;129:48\u201353.","journal-title":"Urology"},{"key":"4897_CR8","doi-asserted-by":"publisher","first-page":"485","DOI":"10.1002\/nau.20556","volume":"27","author":"J Kociszewski","year":"2008","unstructured":"Kociszewski J, Rautenberg O, Perucchini D, et al. Tape functionality: sonographic tape characteristics and outcome after TVT incontinence surgery. Neurourol Urodyn. 2008;27:485\u201390.","journal-title":"Neurourol Urodyn"},{"key":"4897_CR9","unstructured":"Rechberger T, Bogusiewicz M, Monist M, et al. Tape position in patients with recurrent urinary incontinence after failed suburethral slings. Presented at meeting of International Continence Society and International Urogynecological Association, Toronto, Ontario, Canada, abstract 785; 2010."},{"issue":"6","key":"4897_CR10","doi-asserted-by":"publisher","first-page":"687","DOI":"10.1002\/uog.2781","volume":"27","author":"S Schuettoff","year":"2006","unstructured":"Schuettoff S, Beyersdorff D, Gauruder-Burmester A, et al. Visibility of the polypropylene tape after tension-free vaginal tape (TVT) procedure in women with stress urinary incontinence: comparison of introital ultrasound and magnetic resonance imaging in vitro and in patients. Ultrasound Obstet Gynecol. 2006;27(6):687\u201392.","journal-title":"Ultrasound Obstet Gynecol"},{"key":"4897_CR11","doi-asserted-by":"publisher","first-page":"857","DOI":"10.1007\/s00192-016-3234-y","volume":"28","author":"A Hegde","year":"2017","unstructured":"Hegde A, Nogueiras M, Aguila VC. Dynamic assessment of sling function on transperineal ultrasound: does it correlate with outcomes 1 year following surgery? Int Urogynecol J. 2017;28:857\u201364.","journal-title":"Int Urogynecol J"},{"issue":"2","key":"4897_CR12","doi-asserted-by":"publisher","first-page":"218","DOI":"10.1016\/j.eururo.2010.04.022","volume":"58","author":"G Novara","year":"2010","unstructured":"Novara G, Artibani W, Barber MD, Chapple CR, et al. Updated systematic review and meta-analysis of the comparative data on colposuspensions, pubovaginal slings, and midurethral tapes in the surgical treatment of female stress urinary incontinence. Eur Urol. 2010;58(2):218\u201338.","journal-title":"Eur Urol"},{"key":"4897_CR13","doi-asserted-by":"publisher","first-page":"10","DOI":"10.1016\/S0002-9378(96)70243-0","volume":"175","author":"RC Bump","year":"1996","unstructured":"Bump RC, Mattiasson A, B\u00f8 K, et al. The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol. 1996;175:10\u20137.","journal-title":"Am J Obstet Gynecol"},{"key":"4897_CR14","doi-asserted-by":"publisher","first-page":"51","DOI":"10.1159\/000407974","volume":"10","author":"A Ingelman-Sundberg","year":"1983","unstructured":"Ingelman-Sundberg A, Ulmsten U. Surgical treatment of female urinary stress incontinence. Contrib Gynecol Obstet. 1983;10:51\u201369.","journal-title":"Contrib Gynecol Obstet"},{"key":"4897_CR15","first-page":"1306","volume":"11","author":"E Delorme","year":"2001","unstructured":"Delorme E. Transobturator urethral suspension: mini-invasive procedure in the treatment of stress urinary incontinence in women. Prog Urol. 2001;11:1306\u201313.","journal-title":"Prog Urol"},{"key":"4897_CR16","doi-asserted-by":"publisher","first-page":"1323","DOI":"10.1016\/j.eururo.2006.04.008","volume":"50","author":"W Artibani","year":"2006","unstructured":"Artibani W, Pesce F, Prezioso D, et al. Italian validation of the urogenital distress inventory and its application in LUTS patients. Eur Urol. 2006;50:1323\u20139.","journal-title":"Eur Urol"},{"key":"4897_CR17","doi-asserted-by":"publisher","first-page":"5","DOI":"10.1007\/s00192-009-0976-9","volume":"21","author":"BT Haylen","year":"2010","unstructured":"Haylen BT, De Ridder D, Freeman RM, et al. An International Urogynecological Association (IUGA)\/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Int Urogynecol J. 2010;21:5\u201326.","journal-title":"Int Urogynecol J"},{"key":"4897_CR18","doi-asserted-by":"publisher","first-page":"553","DOI":"10.1002\/1520-6777(2000)19:5<553::AID-NAU2>3.0.CO;2-B","volume":"19","author":"JG Blaivas","year":"2000","unstructured":"Blaivas JG, Groutz A. Bladder outlet obstruction nomogram for women with lower urinary tract symptomatology. Neurourol Urodyn. 2000;19:553\u201364.","journal-title":"Neurourol Urodyn"},{"key":"4897_CR19","doi-asserted-by":"publisher","first-page":"950","DOI":"10.1067\/mob.2003.268","volume":"188","author":"HP Dietz","year":"2003","unstructured":"Dietz HP, Mouritsen L, Ellis G, Wilson P. Does the tension-free vaginal tape stay where you put it? Am J Obstet Gynecol. 2003;188:950\u20133.","journal-title":"Am J Obstet Gynecol"},{"key":"4897_CR20","doi-asserted-by":"publisher","first-page":"795","DOI":"10.1007\/s00192-010-1119-z","volume":"21","author":"J Kociszewski","year":"2010","unstructured":"Kociszewski J, Rautenberg O, Kolben S, et al. Tape functionality: position, change in shape, and outcome after TVT procedure\u2014mid-term results. Int Urogynecol J. 2010;21:795\u2013800.","journal-title":"Int Urogynecol J"},{"key":"4897_CR21","doi-asserted-by":"crossref","unstructured":"Dietz HP, Mouritsen L, Ellis G, et al. How important is TVT location? Acta Obstet Gynecol Scand. 2004;83:904\u20138.this reference is 21.","DOI":"10.1111\/j.0001-6349.2004.00198.x"},{"key":"4897_CR22","doi-asserted-by":"publisher","first-page":"458","DOI":"10.1002\/uog.10086","volume":"39","author":"JM Yang","year":"2012","unstructured":"Yang JM, Yang SH, Huang WC, et al. Correlation of tape location and tension with surgical outcome after transobturator suburethral tape procedures. Ultrasound Obstet Gynecol. 2012;39:458\u201365.","journal-title":"Ultrasound Obstet Gynecol"},{"key":"4897_CR23","doi-asserted-by":"publisher","first-page":"2081","DOI":"10.1016\/j.juro.2008.07.030","volume":"180","author":"JM Yang","year":"2008","unstructured":"Yang JM, Yang SH, Huang WC. Dynamic interaction involved in the tension-free vaginal tape obturator procedure. J Urol. 2008;180:2081\u20137.","journal-title":"J Urol"},{"key":"4897_CR24","doi-asserted-by":"publisher","first-page":"42","DOI":"10.1016\/j.maturitas.2020.05.005","volume":"138","author":"W-C Huang","year":"2020","unstructured":"Huang W-C, Yang J-M, Chen H-F. Five-year clinical and imaging outcomes of primary transobturator midurethral sling procedures for uncomplicated urodynamic stress incontinence. Maturitas. 2020 Aug;138:42\u201350.","journal-title":"Maturitas"},{"key":"4897_CR25","doi-asserted-by":"publisher","first-page":"116","DOI":"10.1080\/00016340701797765","volume":"87","author":"CY Long","year":"2008","unstructured":"Long CY, Hsu CS, Lo TS, et al. Ultrasonographic assessment of tape location following tension free vaginal tape and transobturator tape procedure. Acta Obstet Gynecol Scand. 2008;87:116.","journal-title":"Acta Obstet Gynecol Scand"},{"key":"4897_CR26","doi-asserted-by":"publisher","first-page":"211","DOI":"10.1016\/j.juro.2008.09.033","volume":"181","author":"JM Yang","year":"2009","unstructured":"Yang JM, Yang SH, Huang WC. Correlation of morphological alterations and functional impairment of the tension-free vaginal tape obturator procedure. J Urol. 2009;181:211\u20138.","journal-title":"J Urol"},{"issue":"1","key":"4897_CR27","doi-asserted-by":"publisher","first-page":"65","DOI":"10.1080\/791201837","volume":"80","author":"TS Lo","year":"2001","unstructured":"Lo TS, Wang AC, Horng SG, et al. Ultrasonographic and urodynamic evaluation after tension free vaginal tape procedure (TVT). Acta Obstet Gynecol Scand. 2001;80(1):65\u201370.","journal-title":"Acta Obstet Gynecol Scand"},{"key":"4897_CR28","doi-asserted-by":"publisher","first-page":"671","DOI":"10.1016\/j.urology.2003.10.070","volume":"63","author":"TS Lo","year":"2003","unstructured":"Lo TS, Horng SG, Chang CL, et al. Ultrasound assessment of mid-urethral tape at three-year follow-up after tension-free vaginal tape procedure. Urology. 2003;63:671.","journal-title":"Urology."},{"key":"4897_CR29","doi-asserted-by":"publisher","first-page":"1450","DOI":"10.1016\/j.juro.2009.12.028","volume":"183","author":"K Shek","year":"2010","unstructured":"Shek K, Kay P, Chantarasorn V, Dietz H. The urethral motion profile before and after Monarc suburethral sling placement. J Urol. 2010;183:1450\u20134.","journal-title":"J Urol"},{"key":"4897_CR30","doi-asserted-by":"publisher","first-page":"38","DOI":"10.1007\/s001920170092","volume":"12","author":"HP Dietz","year":"2001","unstructured":"Dietz HP, Clarke B. The urethral pressure profile and ultrasound imaging of the lower urinary tract. Int Urogynecol J. 2001;12:38\u201341.","journal-title":"Int Urogynecol J"},{"key":"4897_CR31","doi-asserted-by":"publisher","first-page":"936","DOI":"10.1016\/S0090-4295(02)02558-X","volume":"61","author":"WC Huang","year":"2003","unstructured":"Huang WC, Yang JM. Bladder neck funneling on ultrasound cystourethrography in primary stress urinary incontinence: a sign associated with urethral hypermobility and intrinsic sphincter deficiency. Urology. 2003;61:936\u201341.","journal-title":"Urology"}],"container-title":["International Urogynecology Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00192-021-04897-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00192-021-04897-6\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00192-021-04897-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,4,21]],"date-time":"2022-04-21T18:06:04Z","timestamp":1650564364000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00192-021-04897-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,6,30]]},"references-count":31,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2022,4]]}},"alternative-id":["4897"],"URL":"https:\/\/doi.org\/10.1007\/s00192-021-04897-6","relation":{},"ISSN":["0937-3462","1433-3023"],"issn-type":[{"value":"0937-3462","type":"print"},{"value":"1433-3023","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,6,30]]},"assertion":[{"value":"14 February 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 May 2021","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"30 June 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"None.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Financial disclaimers"}},{"value":"None.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflicts of interest"}}]}}