Pelvic floor ultrasound evaluation in the diagnosis of exposure of synthetic implanted materials in the lower urinary tract.
- Resource Type
- Article
- Authors
- Frigerio, Matteo; Barba, Marta; Marino, Giuseppe; Volonte, Silvia; Cola, Alice
- Source
- International Journal of Gynecology & Obstetrics. Dec2023, Vol. 163 Issue 3, p834-839. 6p.
- Subject
- *URINARY organs
*PELVIC floor
*ULTRASONIC imaging
*URETHRA
*BLADDER
*BLADDER cancer
*KEGEL exercises
- Language
- ISSN
- 0020-7292
Objective: To evaluate the diagnostic performance of pelvic floor ultrasound (PFUS) to recognize prosthetics exposure in the bladder and/or urethra in women with lower urinary tract symptoms (LUTS). Methods: A cross‐sectional study evaluating patients with LUTS after mesh/sling surgery. PFUS was performed with both transvaginal (TVUS) and translabial (TLUS) approaches. A distance of 1 mm or less from the bladder and/or urethra was considered highly suspect for mesh exposure. After PFUS, patients underwent diagnostic urethrocystoscopy. Results: A total of 100 consecutive women were analyzed. According to urethrocystoscopy, the rate of tape exposure in the lower urinary tract was 3%. PFUS showed 100% sensitivity and 98%–100% specificity in detecting lower urinary tract mesh exposure. The negative predictive value was 100% and the positive predictive value ranged from 33% to 50% for urethral and 100% for bladder exposure. Conclusions: PFUS represents an effective and reliable non‐invasive screening test to exclude prosthetics exposure in the bladder and/or urethra in women with LUTS. Synopsis: Pelvic floor ultrasound represents an effective and reliable non‐invasive screening test to exclude prosthetics exposure in the bladder and/or urethra in women. [ABSTRACT FROM AUTHOR]