{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T16:44:30Z","timestamp":1792601070870,"version":"4.5.0"},"reference-count":21,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T00:00:00Z","timestamp":1792540800000},"content-version":"vor","delay-in-days":20,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"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":["Int J of Urology"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To describe a qualitative intraoperative ultrasound protocol for transobturator mid\u2010urethral sling adjustment and assess technical feasibility.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective pilot series included 58 consecutive women with urodynamically confirmed stress urinary incontinence or stress\u2010predominant mixed urinary incontinence undergoing outside\u2010in transobturator sling placement. Sagittal and axial images guided gentle traction for a visible tape\u2013urethra gap and tension release for urethral encroachment. Sling\u2010arm oscillation supplemented assessment when acoustic shadowing limited visualization. Feasibility measures included visualization, adjustment frequency, final sonographic findings, scanning duration, and intraoperative complications. Clinical outcomes were summarized using available cases.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The tape was visualized in all 58 procedures and adjusted in 26 (44.8%). No final residual gap or encroachment was observed. Median scanning duration was 3\u2009min 45\u2009s (interquartile range, 3\u20134\u2009min); no intraoperative complications were recorded. All 58 women provided baseline and 3\u2010month questionnaire data. Mean six\u2010item Urogenital Distress Inventory scores decreased from 68.3\u2009\u00b1\u200917.2 to 20.0\u2009\u00b1\u20096.7; seven\u2010item Incontinence Impact Questionnaire scores decreased from 75.4\u2009\u00b1\u200910.5 to 18.2\u2009\u00b1\u20096.7. At 36\u2009months, 20\/58 women (34.5%) had outcome data. All 20 met the objective stress continence criterion (exact two\u2010sided 95% confidence interval, 83.2%\u2013100%); none met the objective voiding dysfunction criterion (exact two\u2010sided 95% confidence interval, 0%\u201316.8%). These findings concern only the retained subgroup.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The protocol was technically feasible in this single\u2010surgeon, single\u2010center series. Reproducibility, workflow burden, and clinical benefit require prospective evaluation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/iju.70672","type":"journal-article","created":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T16:21:23Z","timestamp":1792599683000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Intraoperative Ultrasound Guided Sling Adjustment During Transobturator Sling Placement: A Preliminary Pilot Report of the Technical Protocol and Feasibility"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5796-3498","authenticated-orcid":false,"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"}]},{"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 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