{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T18:01:17Z","timestamp":1792000877756,"version":"4.4.0"},"reference-count":36,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,10,30]],"date-time":"2018-10-30T00:00:00Z","timestamp":1540857600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Veterinary Surgery"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the long\u2010term efficacy of the transobturator vaginal tape inside out (TVT\u2010O) in female dogs with urethral sphincter mechanism incompetence (USMI).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study design<\/jats:title>\n                    <jats:p>Retrospective study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Animals<\/jats:title>\n                    <jats:p>Incontinent spayed female dogs (n\u2009=\u200912).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>TVT\u2010O tape was inserted in 12 incontinent bitches diagnosed with USMI. Follow\u2010up information was evaluated by a telephone questionnaire, and a continence score was attributed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>One year after surgery, 7 of 12 (58%) dogs were completely continent. Two dogs were removed from the long\u2010term analysis (1 dead and 1 lost). At a median follow\u2010up time of 85 months (range, 28\u201095), 4 of 10 dogs were completely continent without medical treatment. Incontinence recurred in 6 dogs at a median time of 2 months after surgery (range 1\u201020). Among these 6 dogs, 4 regained continence, and 2 had sporadic episodes of incontinence with additional medical treatment. No postoperative complications were encountered.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>TVT\u2010O alone was successful in maintaining long\u2010term continence in 40% of the dogs. Additional postoperative medical treatment was effective in restoring continence in another 40% of the dogs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical significance<\/jats:title>\n                    <jats:p>TVT\u2010O provides an alternative treatment of USMI in female dogs that is safe and less invasive than standard surgical techniques.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/vsu.12947","type":"journal-article","created":{"date-parts":[[2018,10,30]],"date-time":"2018-10-30T12:08:00Z","timestamp":1540901280000},"page":"29-34","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Long\u2010term outcome of the transobturator vaginal tape inside out for the treatment of urethral sphincter mechanism incompetence in female 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