{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T23:46:32Z","timestamp":1792453592078,"version":"4.5.0"},"reference-count":31,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2022,10,12]],"date-time":"2022-10-12T00:00:00Z","timestamp":1665532800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Tomography"],"abstract":"<jats:p>It would be logical to think that single-incision mini-slings (SIMS) should behave like the rest of the tension-free vaginal tape and, therefore, to believe that they present a similar ultrasound appearance, but there are no studies on this matter. Therefore, the main aim of our research is to determine which ultrasound parameters are associated with stress urinary incontinence (SUI) in patients carrying SIMS. A prospective observational study was carried out including 94 patients who were candidates for SUI corrective surgery with SIMS between 1 January 2021 to 31 December 2021 at the Universitary Hospital of Valme (Seville, Spain). A transperineal ultrasound evaluation was performed (six months after surgery) in order to study: the bladder neck\u2013symphyseal distance, the posterior urethro\u2013vesical angle, the pubic symphysis\u2013tape gap, the tape\u2013urethral lumen distance, the sagittal tape angle, the tape position, the concordance of movement between the tape and the urethra, and the axial tape angle. A total of 92 patients completed the study (63 asymptomatic and 29 symptomatic). Statistical differences were observed in the concordance of movement between the tape and the urethra (84.1% vs. 25.0%; p: 0.001) and in the axial tape angle at rest (139.3 \u00b1 19.0 vs. 118.3 \u00b1 15.4; p: 0.003) and at Valsalva (145.1 \u00b1 20.2 vs. 159.1 \u00b1 9.0; p: 0.034). Sagittal tape angle at rest was higher in urge urinary incontinence (UUI) patients (132.5 \u00b1 35.7 vs. 143.3 \u00b1 29.8; p: 0.001) and mixed urinary incontinence (MUI) patients (132.5 \u00b1 35.7 vs. 157.8 \u00b1 23.6; p: 0.025) compared to asymptomatic patients. In conclusion, the concordance between the movement of the tape and the urethra is the most useful ultrasound parameter to define continence in patients with SIMS.<\/jats:p>","DOI":"10.3390\/tomography8050213","type":"journal-article","created":{"date-parts":[[2022,10,12]],"date-time":"2022-10-12T22:45:29Z","timestamp":1665614729000},"page":"2556-2564","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Are Transperineal Ultrasound Parameters Useful to Predict Incontinence in Patients with Single-Incision Mini-Slings?"],"prefix":"10.3390","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3079-5583","authenticated-orcid":false,"given":"Jos\u00e9 Antonio","family":"Garc\u00eda-Mejido","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Faculty of Medicine, University of Seville, CP 41004 Seville, Spain"},{"name":"Department of Obstetrics and Gynecology, Valme University Hospital, CP 41014 Seville, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9669-8543","authenticated-orcid":false,"given":"Pedro","family":"Blasco-Hernandez","sequence":"additional","affiliation":[{"name":"Department of Urology, Valme University Hospital, CP 41014 Seville, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristina","family":"Fernandez-Conde","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Valme University Hospital, CP 41014 Seville, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Garc\u00eda-Pombo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Valme University Hospital, CP 41014 Seville, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Fern\u00e1ndez-Palac\u00edn","sequence":"additional","affiliation":[{"name":"Biostatistics Unit, Department of Preventive Medicine and Public Health, University of Seville, CP 41004 Seville, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlota","family":"Borrero","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Faculty of Medicine, University of Seville, CP 41004 Seville, Spain"},{"name":"Department of Obstetrics and Gynecology, Valme University Hospital, CP 41014 Seville, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9571-3219","authenticated-orcid":false,"given":"Jos\u00e9 Antonio","family":"Sainz-Bueno","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Faculty of Medicine, University of Seville, CP 41004 Seville, Spain"},{"name":"Department of Obstetrics and Gynecology, Valme University Hospital, CP 41014 Seville, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,10,12]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1016\/j.eururo.2010.11.021","article-title":"EAU guidelines on urinary incontinence","volume":"59","author":"Abrams","year":"2011","journal-title":"Euro. Urol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1016\/j.ejogrb.2014.09.015","article-title":"Ultrasonography and clinical outcomes following surgical anti-incontinence procedures (Monarc vs Miniarc)","volume":"182","author":"Lo","year":"2014","journal-title":"Eur. J. Obstet. Gynecol. Reprod. Biol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"538391","DOI":"10.1155\/2015\/538391","article-title":"Complications following Tension-Free Vaginal Tapes: Accurate Diagnosis and Complications Management","volume":"2015","author":"Kociszewski","year":"2015","journal-title":"Biomed Res. Int."},{"key":"ref_4","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_5","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_6","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_7","doi-asserted-by":"crossref","first-page":"1125","DOI":"10.1007\/s00192-008-0593-z","article-title":"Mansoor A. Clinical and ultrasonographic correlations following three surgical anti-incontinence procedures (TOT, TVT and TVT-O)","volume":"19","author":"Chene","year":"2008","journal-title":"Int. Urogynecol. J."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"950","DOI":"10.1067\/mob.2003.268","article-title":"Does the tension-free vaginal tape stay where you put it?","volume":"188","author":"Dietz","year":"2003","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1002\/uog.985","article-title":"The \u201ciris effect\u201d: How two-dimensional and three-dimensional ultrasound can help us understand anti-incontinence procedures","volume":"23","author":"Dietz","year":"2004","journal-title":"Ultrasound Obstet. Gynecol."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"904","DOI":"10.1111\/j.0001-6349.2004.00198.x","article-title":"How important is TVT location?","volume":"83","author":"Dietz","year":"2004","journal-title":"Acta Obstet. Gynecol. Scand."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"218","DOI":"10.1007\/s001920200048","article-title":"Urogynecologic ultrasound is a useful aid in the assessment of female stress urinary incontinence-A prospective study with TVT procedure","volume":"13","author":"Virtanen","year":"2002","journal-title":"Int. Urogynecol. J."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1055\/s-0029-1245798","article-title":"Ultrasound Assessment of Tension-Free Vaginal Tape (TVT)","volume":"32","author":"Flock","year":"2011","journal-title":"Ultraschall Med."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1016\/S0002-9378(96)70243-0","article-title":"The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction","volume":"175","author":"Bump","year":"1996","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_14","first-page":"190","article-title":"Metodolog\u00eda para el estudio ecogr\u00e1fico transperineal del suelo p\u00e9lvico","volume":"48","author":"Sainz","year":"2021","journal-title":"Clin. Invest. Ginecol. Obstet."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1007\/s00192-011-1533-x","article-title":"The time factor in the as-Sessment of prolapse and levator ballooning","volume":"23","author":"Orejuela","year":"2012","journal-title":"Int. Urogynecol. J."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"80","DOI":"10.1002\/uog.939","article-title":"Ultrasound imaging of the pelvic floor: Part I: Two-dimensional aspects","volume":"23","author":"Dietz","year":"2004","journal-title":"Ultrasound Obstet. Gynecol."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1046\/j.0004-8666.2003.00012.x","article-title":"Role of perineal sonography in the evaluation of patients with stress urinary incontinence","volume":"43","author":"Sendag","year":"2003","journal-title":"Aust. N. Z. J. Obstet. Gynaecol."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"458","DOI":"10.1002\/uog.10086","article-title":"Correlation of tape location and tension with surgical outcome after transobturator suburethral tape procedures","volume":"39","author":"Yang","year":"2012","journal-title":"Ultrasound Obstet. Gynecol."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"207","DOI":"10.15557\/JoU.2019.0031","article-title":"The role of TVT position in relation to the pubic symphysis in eliminating the symptoms of stress urinary incontinence and urethral funneling","volume":"19","author":"Krzycka","year":"2019","journal-title":"J. Ultrason."},{"key":"ref_20","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."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1016\/j.maturitas.2020.05.005","article-title":"Five-year clinical and imaging outcomes of primary transobturator midurethral sling procedures for uncomplicated urodynamic stress incontinence","volume":"138","author":"Huang","year":"2020","journal-title":"Maturitas."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1391","DOI":"10.1007\/s00192-012-2031-5","article-title":"Three-dimensional ultrasound assessment and middle term efficacy of a single-incision sling","volume":"24","author":"Spelzini","year":"2013","journal-title":"Int. Urogynecol. J. Pel. Floor Dysfunc."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"1503","DOI":"10.1007\/s00192-018-3837-6","article-title":"Introital ultrasound in the diagnosis of lower urinary tract symptoms following anti-incontinence surgery using a synthetic midurethral tape","volume":"30","author":"Pawlaczyk","year":"2019","journal-title":"Int. Urogynecol. J."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1111\/iju.13262","article-title":"Are complications of stress urinary incontinence surgery procedures associated with the position of the sling?","volume":"24","author":"Kociszewski","year":"2017","journal-title":"Int. J. Urol."},{"key":"ref_25","first-page":"1","article-title":"Sonographic sling position and cure rate 10-years after TVT-O","volume":"14","author":"Tamma","year":"2019","journal-title":"Procedure."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"471","DOI":"10.1055\/s-0037-1606125","article-title":"Pelvic Floor 3D Ultrasound of Women with a TVT, TVT-O, or TVT-S for Stress Urinary Incontinence at the Three-year Follow-up","volume":"39","author":"Rodrigues","year":"2017","journal-title":"Rev. Bras. Ginecol. Obstet."},{"key":"ref_27","first-page":"89","article-title":"Repeat retropubic suburethral sling procedure is effective for recurrent female stress urinary incontinence","volume":"11","author":"Ong","year":"2019","journal-title":"Low. Urin. Tract. Symptoms"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"263","DOI":"10.1097\/SPV.0000000000000161","article-title":"Ultrasound Evaluation of Midurethral Sling Position and Correlation to Physical Examination and Patient Symptoms","volume":"21","author":"Unger","year":"2015","journal-title":"Female Pelvic. Med. Reconstr. Surg."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"699","DOI":"10.1007\/s00192-010-1329-4","article-title":"Minimal criteria for the diagnosis of avulsion of the puborectalis muscle by tomographic ultrasound","volume":"22","author":"Dietz","year":"2011","journal-title":"Int. Urogynecol. J."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1002\/uog.15832","article-title":"Is it necessary to diagnose levator avulsion on pelvic floor muscle contraction?","volume":"49","author":"Dietz","year":"2017","journal-title":"Ultrasound Obstet. Gynecol."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"909","DOI":"10.1007\/s00192-015-2909-0","article-title":"Is the levator-urethra gap helpful for diagnosing avulsion?","volume":"27","author":"Dietz","year":"2016","journal-title":"Int. Urogynecol. J."}],"container-title":["Tomography"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2379-139X\/8\/5\/213\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T00:52:34Z","timestamp":1760143954000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2379-139X\/8\/5\/213"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10,12]]},"references-count":31,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2022,10]]}},"alternative-id":["tomography8050213"],"URL":"https:\/\/doi.org\/10.3390\/tomography8050213","relation":{},"ISSN":["2379-139X"],"issn-type":[{"value":"2379-139X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,10,12]]}}}