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Association between 3D endovaginal and 2D perineal pelvic floor ultrasound findings and symptoms in women presenting with mid‐urethral sling complications

Ultrasound in Obstetrics & Gynecology Apr 13, 2021

Taithongchai A, Pandeva I, Sultan AH, et al. - Researchers aimed at describing the characteristics of women attending a tertiary urogynecology pelvic floor scan clinic with mid‐urethral sling (MUS) complications. In addition, they investigated the correlation between patient symptoms and findings on two‐dimensional (2D) perineal and three‐dimensional (3D) endovaginal ultrasound. A cross‐sectional study was performed including women with MUS complications referred to a specialist pelvic floor ultrasound clinic. Between October 2016 and October 2018, a total of 311 women with a history of MUS surgery were seen. Eighty percent of patients reported vaginal and/or non‐vaginal pain; this was the primary presenting complaint in 59% of the patients. One‐third of the patients described symptoms initiating within 4 weeks after surgery. Overall findings suggest that pelvic floor ultrasound can yield information concerning the position and shape of the MUS, which could explain some patient symptoms and guide management or surgical planning.

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