Hilgers, Reinhard

[["dc.bibliographiccitation.firstpage","795"],["dc.bibliographiccitation.issue","7"],["dc.bibliographiccitation.journal","International Urogynecology Journal"],["dc.bibliographiccitation.lastpage","800"],["dc.bibliographiccitation.volume","21"],["dc.contributor.author","Kociszewski, Jacek"],["dc.contributor.author","Rautenberg, Oliver"],["dc.contributor.author","Kolben, Sebastian"],["dc.contributor.author","Eberhard, Jakob"],["dc.contributor.author","Hilgers, Reinhard"],["dc.contributor.author","Viereck, Volker"],["dc.date.accessioned","2018-11-07T08:41:45Z"],["dc.date.available","2018-11-07T08:41:45Z"],["dc.date.issued","2010"],["dc.description.abstract","This study evaluates the relevance of the tape position and change in shape (tape functionality) under in vivo conditions for mid-term outcome. Changes in the sonographic tension-free vaginal tape (TVT) position relative to the percentage urethral length and the tape-urethra distance were determined after 6 and 48 months in 41 women with stress urinary incontinence. At 48 months, 76% (31/41) of women were cured, 17% (7/41) were improved, and 7% (3/41) were failures. Disturbed bladder voiding was present in 12% (5/41), de novo urge incontinence in 7% (3/41). The median TVT position was at 63% of urethral length. Median tape-urethra distance was 2.7 mm, ranging from 2.9 mm in continent patients without complications to 1.1 mm in those with obstructive complications. Patients with postoperative urine loss had a median distance of 3.9 mm. The tape was stretched at rest and C-shaped during straining in 15 of 41 women (37%) at 48 months (all continent). Patients with this tape functionality at 6 months were also cured at 48 months in 86% of cases (19/22), and only 14% (3/22) showed recurrent incontinence. Mid-term data suggest an optimal outcome if the tape is positioned at least 2 mm from the urethra at the junction of the middle and distal thirds. Patients with optimal tape functionality at 6 months are likely to show mid-term therapeutic success."],["dc.identifier.doi","10.1007/s00192-010-1119-z"],["dc.identifier.isi","000278094200007"],["dc.identifier.pmid","20204326"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/4233"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/19537"],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.publisher.place","London"],["dc.relation.issn","0937-3462"],["dc.rights","Goescholar"],["dc.rights.uri","https://goescholar.uni-goettingen.de/licenses"],["dc.title","Tape functionality: position, change in shape, and outcome after TVT procedure-mid-term results"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]