{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T04:33:26Z","timestamp":1773981206481,"version":"3.50.1"},"reference-count":24,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2010,12,31]],"date-time":"2010-12-31T00:00:00Z","timestamp":1293753600000},"content-version":"vor","delay-in-days":1004,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2008,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:italic>Background.<\/jats:italic> This study aims to clarify the relationship between the outside\u2010in transobturator suburethral tape and the anatomical structures at the blind passage of the obturator foramen, and to detail the tape position, shape, and the factors on which they are dependent. <jats:italic>Methods.<\/jats:italic> MRI scans were performed on 30 patients operated on with a dermal porcine collagen suburethral tape, indicated for urodynamically proven stress incontinence. <jats:italic>Results.<\/jats:italic> The lateral bladder wall was the closest structure to the tape at the passage of the obturator foramen, whereas vascular injuries appeared to be minimal using the outside\u2010in technique. The distance from tape to bladder neck was correlated with the distance from tape to pubococcygeal line (PCL) (<jats:italic>p<\/jats:italic> = 0.001), and with urethral length (<jats:italic>p<\/jats:italic> = 0.049). From the obturator foramen to its passage under the urethra, the tape was U\u2010shaped with a cranio\u2010caudal and antero\u2010posterior orientation. The cranio\u2010caudal tape shape was correlated with the distance between the tape and the PCL (<jats:italic>p<\/jats:italic> = 0.002), and to the patient's anatomical characteristics: distance between the bladder neck and the pubis (<jats:italic>p<\/jats:italic> = 0.01), and the urethral length (<jats:italic>p<\/jats:italic> = 0.01). The antero\u2010posterior shape was correlated with the urethral length (<jats:italic>p<\/jats:italic> = 0.02). <jats:italic>Conclusion.<\/jats:italic> The lateral bladder wall is the structure most at risk during the outside\u2010in transobturator suburethral tape procedure. The distance from tape to bladder neck is dependent on the vertical position of the tape. The tape shape is dependent on both tape position under the urethra and the patient's anatomical characteristics.<\/jats:p>","DOI":"10.1080\/00016340801969173","type":"journal-article","created":{"date-parts":[[2008,4,1]],"date-time":"2008-04-01T18:06:11Z","timestamp":1207073171000},"page":"457-463","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["MRI anatomical study of the outside\u2010in transobturator suburethral tape procedure"],"prefix":"10.1111","volume":"87","author":[{"given":"PEDRO","family":"FERNANDEZ","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"CYRIL","family":"RAIFFORT","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"SARAH","family":"DELANEY","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"LAURENCE","family":"SALOMON","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"BRUNO","family":"CARBONNE","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"VINCENT","family":"DELMAS","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"YAN","family":"ANSQUER","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2010,12,31]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1007\/BF01901606","article-title":"A multicenter study of tension free vaginal tape (TVT) for surgical treatment of stress urinary incontinence","volume":"9","author":"Ulmsten U","year":"1998","journal-title":"Int Urogynecol J Pelvic Floor Dysfunct"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF01902378"},{"key":"e_1_2_5_4_2","doi-asserted-by":"crossref","unstructured":"MeschiaM PifarottiP BernasconiF GuercioE MaffioliniM MagattiF et al.Tension free vaginal tape: analysis of outcomes and complications in 404 stress incontinent patients.Int Urogynecol J.2001;s24\u20137.","DOI":"10.1007\/s001920170008"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1034\/j.1600-0412.2002.810113.x"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s001920200055"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s001920170081"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(03)00011-5"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/uog.1945"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1002\/uog.2781"},{"key":"e_1_2_5_11_2","first-page":"1306","article-title":"Transobturator urethral suspension: a minimally invasive procedure to treat female stress urinary incontinence","volume":"11","author":"Delorme E","year":"2001","journal-title":"Progr\u00e8s Urol"},{"key":"e_1_2_5_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2005.02.002"},{"key":"e_1_2_5_13_2","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2001.112972"},{"key":"e_1_2_5_14_2","doi-asserted-by":"publisher","DOI":"10.1080\/00016340701550990"},{"key":"e_1_2_5_15_2","doi-asserted-by":"publisher","DOI":"10.1148\/radiology.179.1.2006286"},{"key":"e_1_2_5_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/00042307-200411000-00003"},{"key":"e_1_2_5_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-004-1245-6"},{"key":"e_1_2_5_18_2","doi-asserted-by":"publisher","DOI":"10.1080\/01443610410001722617"},{"key":"e_1_2_5_19_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.0001-6349.2004.00198.x"},{"key":"e_1_2_5_20_2","first-page":"227","article-title":"Suburethral tape via the obturator route: is TOT a simplification of TVT?","volume":"15","author":"Mellier G","year":"2004","journal-title":"Int J Urogynecol J Pelvic Floor Dysfunct"},{"key":"e_1_2_5_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2004.04.030"},{"key":"e_1_2_5_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1074-3804(05)60050-3"},{"key":"e_1_2_5_23_2","doi-asserted-by":"crossref","first-page":"724","DOI":"10.1016\/j.eururo.2003.09.003","article-title":"Novel surgical technique for the treatment of female stress urinary incontinence: trans obturator vaginal tape inside out","volume":"44","author":"De Leval J","year":"2003","journal-title":"Eur Urol"},{"key":"e_1_2_5_24_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000255662.79008.18"},{"key":"e_1_2_5_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2003.10.070"}],"container-title":["Acta Obstetricia et Gynecologica Scandinavica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1080%2F00016340801969173","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1080\/00016340801969173","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,27]],"date-time":"2023-09-27T08:34:34Z","timestamp":1695803674000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1080\/00016340801969173"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,4]]},"references-count":24,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2008,4]]}},"alternative-id":["10.1080\/00016340801969173"],"URL":"https:\/\/doi.org\/10.1080\/00016340801969173","archive":["Portico"],"relation":{},"ISSN":["0001-6349","1600-0412"],"issn-type":[{"value":"0001-6349","type":"print"},{"value":"1600-0412","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,4]]},"assertion":[{"value":"2010-12-31","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}