{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T21:22:39Z","timestamp":1793654559952,"version":"4.5.1"},"reference-count":15,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2016,11,30]],"date-time":"2016-11-30T00:00:00Z","timestamp":1480464000000},"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":["J of Ultrasound Medicine"],"published-print":{"date-parts":[[2017,2]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To evaluate dynamic 2\u2010dimensional (2D) transperineal pelvic sonographic findings and urodynamic studies in women with lower urinary tract symptoms after midurethral sling placement.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Transperineal pelvic sonography and urodynamic studies were reviewed from women with a midurethral sling and lower urinary tract symptoms. The shape and sonographic dynamic change of the sling from the rest position to the maximum Valsalva maneuver and back to rest were recorded. Patients were categorized into 3 groups: group I, at rest, the sling lies parallel to the urethral lumen, and during Valsalva, the sling becomes C shaped; group 2, both at rest and during Valsalva, the sling runs parallel to the urethral lumen; and group 3, at rest, the sling is C shaped, and during Valsalva, this curved shape is maintained. For analytical purposes group 3 was compared with groups 1 and 2. Multiple logistic regressions were used to evaluate the association between transperineal pelvic sonography and urodynamic studies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Seventy\u2010seven women were enrolled. The detrusor pressure at the maximum flow rate was significantly higher in group 3 than groups 1 and 2 (mean\u2009\u00b1\u2009SD, 36\u2009\u00b1\u200916 versus 19\u2009\u00b1\u200911 mm H<jats:sub>2<\/jats:sub>O; <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001). The odds of high detrusor pressure (&gt;20 mm H<jats:sub>2<\/jats:sub>O) in group 3 was approximately 12 times the odds of those in groups 1 and 2. After adjusting for other variables using a multiple logistic regression analysis, a statistically significant association between group 3 and high detrusor pressure persisted (odds ratio, 29.7; 95% confidence interval, 2.949\u2013299.6; <jats:italic>P<\/jats:italic>\u2009=\u2009.0040) persisted.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Transperineal dynamic 2D sonography can help predict women with high\u2010pressure voiding after midurethral sling placement and aid in the diagnosis of bladder outlet obstruction.<\/jats:p><\/jats:sec>","DOI":"10.7863\/ultra.16.02076","type":"journal-article","created":{"date-parts":[[2017,1,13]],"date-time":"2017-01-13T22:14:54Z","timestamp":1484345694000},"page":"295-300","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":19,"title":["Transperineal Sonography and Urodynamic Findings in Women With Lower Urinary Tract Symptoms After Sling Placement"],"prefix":"10.7863","volume":"36","author":[{"given":"Peter","family":"Takacs","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Female Pelvic Medicine and Reconstructive Surgery Eastern Virginia Medical School Norfolk Virginia USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kindra","family":"Larson","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Female Pelvic Medicine and Reconstructive Surgery Eastern Virginia Medical School Norfolk Virginia USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Scott","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Female Pelvic Medicine and Reconstructive Surgery Eastern Virginia Medical School Norfolk Virginia USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tina D.","family":"Cunningham","sequence":"additional","affiliation":[{"name":"Center for Health Analytics and Discovery Eastern Virginia Medical School Norfolk Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah C.","family":"DeShields","sequence":"additional","affiliation":[{"name":"Center for Health Analytics and Discovery Eastern Virginia Medical School Norfolk Virginia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alfred","family":"Abuhamad","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Female Pelvic Medicine and Reconstructive Surgery Eastern Virginia Medical School Norfolk Virginia USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,11,30]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e3181660c1b"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20798"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000155679.77895.cb"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-003-1114-8"},{"issue":"6","key":"e_1_2_6_6_1","first-page":"S14","article-title":"Pressure flow urodynamic studies: the gold standard for diagnosing bladder outlet obstruction","volume":"7","author":"Nitti VW.","year":"2005","journal-title":"Rev 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