{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T20:57:29Z","timestamp":1790888249364,"version":"4.1.0"},"reference-count":28,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2022,2,27]],"date-time":"2022-02-27T00:00:00Z","timestamp":1645920000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Currently, pelvic floor ultrasound allows us to correctly visualize the synthetic material used in stress urinary incontinence surgery. The objective of this study is the construction of a score and its correlation with the SUU clinic. During the study period, 81 patients with transobturator slings were studied using ultrasound. Through multivariate analysis, the statistically significant variables were the distance from the sling to the urethral wall (p = 0.004), the shape of the sling at rest (p = 0.003), and the symmetry of the mesh (p = 0.016). Through these variables, the construction of a score was carried out. Once the model was constructed, its internal validation was carried out to determine the discrimination capacity of patients who present clinical stress and those who do not, with an area under the curve of 0.848 (95% CI (0.72\u20130.97), p &lt; 0.001). This simple score using three ultrasound variables serves to adequately and objectively discriminate patients who have successful surgery and absence of clinical effort.<\/jats:p>","DOI":"10.3390\/jcm11051296","type":"journal-article","created":{"date-parts":[[2022,2,27]],"date-time":"2022-02-27T20:47:17Z","timestamp":1645994837000},"page":"1296","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Construction of a Prognostic Score for Ultrasound Evaluation of the Transobturator Sling for Stress Urinary Incontinence"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2436-9326","authenticated-orcid":false,"given":"Espada-Gonzalez","family":"Cristina","sequence":"first","affiliation":[{"name":"Department of Gynecology and Obstetrics, Faculty of Medicine, University of M\u00e1laga, 29010 Malaga, Spain"},{"name":"Department of Gynecology and Obstetrics, Quiron Salud Hospital of Malaga, 29004 Malaga, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6577-0557","authenticated-orcid":false,"given":"Sabonet-Morente","family":"Lorena","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Regional Universitary Hospital of Malaga, 29011 Malaga, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Perez-Gonzalez","family":"Rita","sequence":"additional","affiliation":[{"name":"Statistics Department, The Institute of Biomedical Research of M\u00e1laga (IBIMA), Regional Universitary Hospital of Malaga, 29011 Malaga, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7106-092X","authenticated-orcid":false,"given":"Gonzalez-Mesa Ernesto","family":"Santiago","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Faculty of Medicine, University of M\u00e1laga, 29010 Malaga, Spain"},{"name":"Department of Gynecology and Obstetrics, Regional Universitary Hospital of Malaga, 29011 Malaga, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7286-8656","authenticated-orcid":false,"given":"Jimenez-Lopez Jesus","family":"Salvador","sequence":"additional","affiliation":[{"name":"Department of Gynecology and Obstetrics, Faculty of Medicine, University of M\u00e1laga, 29010 Malaga, Spain"},{"name":"Department of Gynecology and Obstetrics, Regional Universitary Hospital of Malaga, 29011 Malaga, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,2,27]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Batmani, S., Jalali, R., Mohammadi, M., and Bokaee, S. (2021). Prevalence and factors related to urinary incontinence in older adults women worldwide: A comprehensive systematic review and meta-analysis of observational studies. BMC Geriatr., 21.","DOI":"10.1186\/s12877-021-02135-8"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1016\/S0090-4295(02)02243-4","article-title":"The standardisation of terminology in lower urinary tract function: Report from the standardisation sub-committee of the international continence society","volume":"61","author":"Abrams","year":"2003","journal-title":"Urology"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1007\/s00192-009-0976-9","article-title":"An international urogynecological association (iuga)\/international continence society (ics) joint report on the terminology for female pelvic floor dysfunction","volume":"21","author":"Haylen","year":"2010","journal-title":"Int. Urogynecol. J."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"219","DOI":"10.4321\/S1137-66272006000300006","article-title":"La incontinencia urinaria","volume":"29","author":"Robles","year":"2006","journal-title":"An. Sist. Sanit. Navar."},{"key":"ref_5","first-page":"28738443","article-title":"Urethral injection therapy for urinary incontinence in women","volume":"2017","author":"Kirchin","year":"2017","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_6","unstructured":"Berek, J.S., Kraus, L., Professor, L., and Berek, D.L. (2020). Berek & Novak\u2019s Gynecology, Wolters Kluwer."},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"de Barros Lopes, A., Spirtos Nick, M., Hilton, P., and Monaghan John, M. (2018). Operations for urinary incontinence. Bonney\u2019s Gynaecological Surgery, John Wiley & Sons, Ltd.. [12th ed.].","DOI":"10.1002\/9781119266907"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"172","DOI":"10.4274\/tjod.46034","article-title":"Evaluation of the efficacy of transobturator tape surgery in the treatment of stress urinary incontinence using urodynamics and questionnaires","volume":"13","author":"Kumbasar","year":"2016","journal-title":"J. Turk. Soc. Obstet. Gynecol."},{"key":"ref_9","first-page":"253","article-title":"Banda libre de tensi\u00f3n transobturadora en el tratamiento de la incontinencia urinaria femenina. Cinco a\u00f1os de experiencia en un hospital comarcal","volume":"40","author":"Lauroba","year":"2013","journal-title":"Cl\u00edn. Investig. Ginecol. Obstet."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1016\/j.urology.2013.09.004","article-title":"Translabial ultrasonography for evaluation of synthetic mesh in the vagina","volume":"83","author":"Staack","year":"2014","journal-title":"Urology"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1002\/nau.22725","article-title":"Clinical and ultrasonographic study of patients presenting with transvaginal mesh complications","volume":"35","author":"Manonai","year":"2016","journal-title":"Neurourol. Urodyn."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1007\/s00192-010-1306-y","article-title":"Sonographic appearance of transobturator slings: Implications for function and dysfunction","volume":"22","author":"Chantarasorn","year":"2011","journal-title":"Int. Urogynecol. J."},{"key":"ref_13","first-page":"431","article-title":"Ecograf\u00eda en el diagn\u00f3stico de la incontinencia urinaria femenina","volume":"59","year":"2006","journal-title":"Arch. Espa\u00f1oles Urol. (Ed. Impresa)"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1016\/j.ajog.2009.08.018","article-title":"Pelvic floor ultrasound: A review","volume":"202","author":"Dietz","year":"2016","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_15","doi-asserted-by":"crossref","unstructured":"Dietz, H.P., Hoyte, L.P.J., and Steensma, A.B. (2008). Atlas of Pelvic Floor Ultrasound, Springer.","DOI":"10.1007\/978-1-84628-584-4"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"857","DOI":"10.1007\/s00192-016-3234-y","article-title":"Dynamic assessment of sling function on transperineal ultrasound: Does it correlate with outcomes 1 year following surgery?","volume":"28","author":"Hegde","year":"2017","journal-title":"Int. Urogynecol. J."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1097\/RUQ.0000000000000545","article-title":"Translabial ultrasound for assessment of synthetic midurethral sling complications","volume":"37","author":"Wermuth","year":"2021","journal-title":"Ultrasound Q."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1016\/j.ejogrb.2017.06.024","article-title":"Development and validation of the polish version of the urogenital distress inventory short form and the incontinence impact questionnaire short form","volume":"215","author":"Skorupska","year":"2017","journal-title":"Eur. J. Obstet. Gynecol. Reprod. Biol."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"1003","DOI":"10.1177\/1536867X1801700414","article-title":"Assessing the calibration of dichotomous outcome models with the calibration belt","volume":"17","author":"Nattino","year":"2017","journal-title":"Stata J. Promot. Commun. Stat. Stata"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1002\/nau.24813","article-title":"Long-term postoperative follow-up results of transobturator autologous rectus fascial sling versus transobturator tension-free vaginal tapes for female stress urinary incontinence: Randomized controlled clinical trial","volume":"41","author":"Kilinc","year":"2021","journal-title":"Neurourol. Urodyn."},{"key":"ref_21","first-page":"973","article-title":"Long-term outcomes of transobturator suburethral tapes for female stress urinary incontinence","volume":"124","author":"Sabadell","year":"2021","journal-title":"Neurourol. Urodyn."},{"key":"ref_22","doi-asserted-by":"crossref","unstructured":"Illiano, E., Trama, F., Li Marzi, V., Mancini, V., Carrieri, G., Ruvolo, C.C., Califano, G., Fabi, C., Brancorsini, S., and Costantini, E. (2021). Translabial ultrasound: A non-invasive technique for assessing \u201ctechnical errors\u201d after tot failure. Int. Urogynecol. J.","DOI":"10.1007\/s00192-021-04897-6"},{"key":"ref_23","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","year":"2008","journal-title":"Neurourol. Urodyn."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1401","DOI":"10.1007\/s00192-019-03973-2","article-title":"Clinical application of 2d and 3d pelvic floor ultrasound of mid-urethral slings and vaginal wall mesh","volume":"30","author":"Taithongchai","year":"2019","journal-title":"Int. Urogynecol. J."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"1497","DOI":"10.1002\/jum.15254","article-title":"The use of imaging for synthetic midurethral slings","volume":"39","author":"Duckett","year":"2020","journal-title":"J. Ultrasound Med."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"235","DOI":"10.31403\/rpgo.v62i1918","article-title":"Evaluaci\u00f3n del suelo p\u00e9lvico mediante ecograf\u00eda introital","volume":"62","year":"2016","journal-title":"Rev. Peru. Ginecol. Obstet."},{"key":"ref_27","first-page":"319","article-title":"Ultrasonido en la evaluaci\u00f3n de la incontinencia urinaria femenina no neurol\u00f3gica","volume":"71","year":"2011","journal-title":"Rev. Mex. Urol."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1007\/s00345-020-03153-8","article-title":"Correlation between translabial ultrasound parameters and outcomes in retropubic mid-urethral slings: Can we predict success?","volume":"39","author":"Tan","year":"2021","journal-title":"World J. Urol."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/11\/5\/1296\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T22:28:33Z","timestamp":1760135313000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/11\/5\/1296"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2,27]]},"references-count":28,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2022,3]]}},"alternative-id":["jcm11051296"],"URL":"https:\/\/doi.org\/10.3390\/jcm11051296","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,2,27]]}}}