Anatomic relationships of single-incision midurethral slings

T. Ignacio Montoya, Jennifer J. Street, Marlene M. Corton

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Objective: The objective of the study was to evaluate the anatomic relationships of anchor points of single-incision midurethral slings with 2 common placement trajectories. Study Design: In 30 female pelvic halves, a probe was introduced through a suburethral tunnel following 45° and 90° angle trajectories. The corresponding anchor points were tagged. Distances to the obturator canal, accessory obturator vessels, dorsal vein of clitoris, and external iliac vein were recorded. Results: Both suburethral tunnel trajectories and their respective anchor points remained caudad to the obturator internus muscle in 100% of dissections. The closest distance between either anchor point to the obturator canal was 1.6 cm. The closest distance from the 45° and 90° anchor points to the accessory obturator vessels was 1.6 and 1.5 cm, respectively. Conclusion: The anchor points of single-incision midurethral slings are in close proximity to vascular structures that could be injured with inadvertent entry into the retropubic space.

Original languageEnglish (US)
JournalAmerican Journal of Obstetrics and Gynecology
Volume208
Issue number1
DOIs
StatePublished - Jan 2013

Fingerprint

Suburethral Slings
Clitoris
Iliac Vein
Blood Vessels
Dissection
Veins
Muscles

Keywords

  • mesh
  • minisling anchor points
  • minisling injury
  • minislings

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Anatomic relationships of single-incision midurethral slings. / Montoya, T. Ignacio; Street, Jennifer J.; Corton, Marlene M.

In: American Journal of Obstetrics and Gynecology, Vol. 208, No. 1, 01.2013.

Research output: Contribution to journalArticle

@article{6cead806a9e24d5abb81a6af69f6d01e,
title = "Anatomic relationships of single-incision midurethral slings",
abstract = "Objective: The objective of the study was to evaluate the anatomic relationships of anchor points of single-incision midurethral slings with 2 common placement trajectories. Study Design: In 30 female pelvic halves, a probe was introduced through a suburethral tunnel following 45° and 90° angle trajectories. The corresponding anchor points were tagged. Distances to the obturator canal, accessory obturator vessels, dorsal vein of clitoris, and external iliac vein were recorded. Results: Both suburethral tunnel trajectories and their respective anchor points remained caudad to the obturator internus muscle in 100{\%} of dissections. The closest distance between either anchor point to the obturator canal was 1.6 cm. The closest distance from the 45° and 90° anchor points to the accessory obturator vessels was 1.6 and 1.5 cm, respectively. Conclusion: The anchor points of single-incision midurethral slings are in close proximity to vascular structures that could be injured with inadvertent entry into the retropubic space.",
keywords = "mesh, minisling anchor points, minisling injury, minislings",
author = "Montoya, {T. Ignacio} and Street, {Jennifer J.} and Corton, {Marlene M.}",
year = "2013",
month = "1",
doi = "10.1016/j.ajog.2012.10.004",
language = "English (US)",
volume = "208",
journal = "American Journal of Obstetrics and Gynecology",
issn = "0002-9378",
publisher = "Mosby Inc.",
number = "1",

}

TY - JOUR

T1 - Anatomic relationships of single-incision midurethral slings

AU - Montoya, T. Ignacio

AU - Street, Jennifer J.

AU - Corton, Marlene M.

PY - 2013/1

Y1 - 2013/1

N2 - Objective: The objective of the study was to evaluate the anatomic relationships of anchor points of single-incision midurethral slings with 2 common placement trajectories. Study Design: In 30 female pelvic halves, a probe was introduced through a suburethral tunnel following 45° and 90° angle trajectories. The corresponding anchor points were tagged. Distances to the obturator canal, accessory obturator vessels, dorsal vein of clitoris, and external iliac vein were recorded. Results: Both suburethral tunnel trajectories and their respective anchor points remained caudad to the obturator internus muscle in 100% of dissections. The closest distance between either anchor point to the obturator canal was 1.6 cm. The closest distance from the 45° and 90° anchor points to the accessory obturator vessels was 1.6 and 1.5 cm, respectively. Conclusion: The anchor points of single-incision midurethral slings are in close proximity to vascular structures that could be injured with inadvertent entry into the retropubic space.

AB - Objective: The objective of the study was to evaluate the anatomic relationships of anchor points of single-incision midurethral slings with 2 common placement trajectories. Study Design: In 30 female pelvic halves, a probe was introduced through a suburethral tunnel following 45° and 90° angle trajectories. The corresponding anchor points were tagged. Distances to the obturator canal, accessory obturator vessels, dorsal vein of clitoris, and external iliac vein were recorded. Results: Both suburethral tunnel trajectories and their respective anchor points remained caudad to the obturator internus muscle in 100% of dissections. The closest distance between either anchor point to the obturator canal was 1.6 cm. The closest distance from the 45° and 90° anchor points to the accessory obturator vessels was 1.6 and 1.5 cm, respectively. Conclusion: The anchor points of single-incision midurethral slings are in close proximity to vascular structures that could be injured with inadvertent entry into the retropubic space.

KW - mesh

KW - minisling anchor points

KW - minisling injury

KW - minislings

UR - http://www.scopus.com/inward/record.url?scp=84871621742&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84871621742&partnerID=8YFLogxK

U2 - 10.1016/j.ajog.2012.10.004

DO - 10.1016/j.ajog.2012.10.004

M3 - Article

VL - 208

JO - American Journal of Obstetrics and Gynecology

JF - American Journal of Obstetrics and Gynecology

SN - 0002-9378

IS - 1

ER -