Translabial Ultrasound for Assessment of Synthetic Midurethral Sling Complications

Daniela Escobar Wermuth, Alison Sheridan, Janine Oliver, Phyllis Glanc, Gaurav Khatri, Anjuli Bagley, Nayana Patel

Research output: Contribution to journalArticlepeer-review

Abstract

Translabial ultrasound (TLUS) is an inexpensive, noninvasive imaging modality traditionally used for assessment of pelvic organ prolapse. The utility of TLUS has recently been expanded to the evaluation of synthetic midurethral slings (MUS) surgically implanted for management of stress urinary incontinence. The purpose of this article is to familiarize radiologists with translabial ultrasound technique and provide a technical protocol for TLUS execution because it can be optimized for imaging and assessment of MUS, including identification of MUS configuration and recognition of common complications. This article provides example images of transobturator and retropubic slings and their associated complications, as visualized on TLUS. Accurate imaging and assessment of MUS is helpful in the evaluation of the patient presenting with symptoms suspicious for sling-related complications and in the planning of surgical revision.

Original languageEnglish (US)
Pages (from-to)237-243
Number of pages7
JournalUltrasound Quarterly
Volume37
Issue number3
DOIs
StatePublished - Sep 1 2021

Keywords

  • midurethral sling
  • stress urinary incontinence
  • suburethral sling
  • technique
  • translabial
  • ultrasound

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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