Post-Transobturator Mid-Urethral Sling Procedure for Female Stress Urinary Incontinence
Conditions
Interventions
Urinary Leakage Group:None
Sponsors
Peking University Shenzhen Hospital
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1.Female patients diagnosed with stress urinary incontinence or mixed urinary incontinence who underwent transobturator mid-urethral sling surgery; 2.Postoperative transrectal biplane pelvic floor ultrasound examination performed at the Ultrasound Department of Peking University Shenzhen Hospital, with complete imaging data, including images at rest and during Valsalva maneuver, as well as baseline measurements; 3.Availability of complete clinical information in the electronic medical record system, including general patient data, surgical details, and postoperative follow-up of clinical symptoms (including urinary leakage);
Exclusion criteria
Exclusion criteria: 1.Ultrasound images of poor quality, with unclear visualization of key anatomical structures (urethra, sling, levator hiatus), preventing standardized parameter measurements; 2.Missing data in the electronic medical record or ultrasound examination, with key information (surgery date, postoperative urinary leakage, ultrasound measurements) unavailable for review; 3.History of other pelvic floor surgeries (e.g., pelvic floor reconstruction, bladder neck suspension) that may affect sling evaluation; 4.Presence of severe pelvic floor anatomical abnormalities, neurological disorders, malignancies, or significant hepatic or renal dysfunction, which may influence urinary incontinence symptoms or ultrasound assessment; 5.Insufficient postoperative follow-up, with incomplete clinical symptoms or ultrasound data;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Sling width (W), distance from the proximal margin of the sling to the internal urethral meatus (D-I), distance from the distal margin of the sling to the external urethral meatus at rest (D-O);distance from the distal margin of the sling to the external urethral meatus during Valsalva maneuver (V-D-O); | — |
Secondary
| Measure | Time frame |
|---|---|
| Levator hiatus area at rest and during Valsalva maneuver (LA-A, V-LA-A); | — |
Countries
China
Contacts
Public ContactXiaokun Li
Peking University Shenzhen Hospital
Outcome results
None listed