Purpose of Review <p>To evaluate the diagnostic utility of translabial and introital ultrasound (TU and IU) in the assessment of synthetic mid-urethral sling (MUS) complications.</p> Recent Findings <p>TU and IU are non-invasive imaging modalities increasingly employed to detect MUS-related complications such as obstructive voiding, lower urinary tract sling extrusion, vaginal exposure, recurrent stress urinary incontinence (SUI), and chronic pelvic pain. Recent studies underscore their capacity to visualize dynamic changes during Valsalva maneuvers, providing detailed insights into sling position, urethral mobility, and bladder neck descent. Additionally, ultrasound has proven effective in identifying improper sling placement and its interactions with adjacent tissues, supporting timely interventions for tape mobilization and partial or total mesh excision.</p> Summary <p>Ultrasound represents an important tool in diagnosing MUS complications, offering precision in dynamic imaging and facilitating early intervention. This review emphasizes the critical role of TU and IU in enhancing patient outcomes by optimizing the diagnostic process for MUS-related issues.</p>

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Assessment of Mid-Urethral Sling Complications: Clinical Insights for Translabial or Introital Ultrasound Use

  • Juan Francisco Penafiel,
  • Camille Haudebert ,
  • Benoit Peyronnet

摘要

Purpose of Review

To evaluate the diagnostic utility of translabial and introital ultrasound (TU and IU) in the assessment of synthetic mid-urethral sling (MUS) complications.

Recent Findings

TU and IU are non-invasive imaging modalities increasingly employed to detect MUS-related complications such as obstructive voiding, lower urinary tract sling extrusion, vaginal exposure, recurrent stress urinary incontinence (SUI), and chronic pelvic pain. Recent studies underscore their capacity to visualize dynamic changes during Valsalva maneuvers, providing detailed insights into sling position, urethral mobility, and bladder neck descent. Additionally, ultrasound has proven effective in identifying improper sling placement and its interactions with adjacent tissues, supporting timely interventions for tape mobilization and partial or total mesh excision.

Summary

Ultrasound represents an important tool in diagnosing MUS complications, offering precision in dynamic imaging and facilitating early intervention. This review emphasizes the critical role of TU and IU in enhancing patient outcomes by optimizing the diagnostic process for MUS-related issues.