TOT does not affect the urethral sphincter innervation: a pilot study.

Abstract:

INTRODUCTION AND HYPOTHESIS:To exclude a neuromuscular denervation damage due to prosthetic mini-invasive surgery using transobturator tape (TOT) by pre and postoperative electromyography (EMG) of the striated urethral sphincter. METHODS:Seventeen women with SUI were enrolled by urogynecologic and urodynamic examination. Each of them underwent EMG of striated urethral sphincter performed by 25-mm concentric needle that was put in as far as 5 mm inside internal urethral sphincter. Amplitude and duration of EMG potentials were measured during caught, maximal contraction, and at rest. Four months after TOT treatment women underwent EMG. RESULTS:The mean amplitude of EMG potentials does not show significant statistical differences between pre- and post-TOT (P=NS). The duration of potentials, instead, changed between pre and posttreatment only during the maximal contraction test (P ≤ 0.05). CONCLUSIONS:TOT prosthesis surgery, avoiding denervation and devascularization of pelvic structures does not produce damage of the urethral sphincter.

journal_name

Int Urogynecol J

authors

Caruso S,Panella MM,Cianci S,Rampello L,Bandiera S,Giordano R,Matarazzo MG,Cianci A

doi

10.1007/s00192-011-1364-9

subject

Has Abstract

pub_date

2011-06-01 00:00:00

pages

739-42

issue

6

eissn

0937-3462

issn

1433-3023

journal_volume

22

pub_type

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