caa a22 4500 445309202 CHVBK 20180317142623.0 cr unu---uuuuu 170323e20110701xx s 000 0 eng 10.1007/s00404-010-1619-6 doi (NATIONALLICENCE)springer-10.1007/s00404-010-1619-6 Effects of lumbar lordosis and pelvic inlet orientation on the outcome of the transobturator tape sling operation in women [Elektronische Daten] [Tayfun Sahinkanat, Deniz Arıkan, Emre Turgut, Cuneyd Ozkurkcugil, Hasan Yılmaz, Hasan Ekerbicer] Purpose: To determine the association between changes in lumbar lordosis (LL) and/or pelvic inlet (PI) orientation and the outcome of a transobturator tape (TOT) sling procedure. Methods: The study population consisted of 70 patients who underwent the TOT sling procedure for stress urinary incontinence, and were evaluated by a stress test at the sixth month after the surgery. The women were defined as continent on the absence of both subjective complaint of leakage and objective leakage as a result of the test. Cases that failed, even though improvement may have been observed, were considered incontinent. With the use of a standardized protocol, lateral lumbosacral spine/pelvic X-rays were taken with the participants standing in their usual upright posture with hands kept at chest level. From these X-rays, the angle of LL and PI were measured. Results: Of the 70 cases, 42 were continent and 28 were incontinent according to the evaluation done during the sixth month after the TOT procedure. There were no significant differences with respect to age, body mass index, gravidity, vaginal parity, pelvic organ prolapse and comorbid diseases between the continent and incontinent groups. The mean angle of PI in the continent group (34°, range 20-50) was significantly lower than in the incontinent group (37°, range 28-60) (p=0.012). There was no significant difference in the median angle of LL (32°, range 15-50 in continent group, 34.5°, range 21-56 in incontinent group, p=0.13) between the two groups. Conclusions: Women with continence after the TOT sling procedure have lower angle of PI than women with incontinence. Springer-Verlag, 2010 Anatomy nationallicence Female nationallicence Lordosis nationallicence Outcome nationallicence Pelvis nationallicence Transobturator tape nationallicence Sahinkanat Tayfun Department of Urology, University of Kahramanmaras Sutcu Imam School of Medicine, Kahramanmaras, Turkey aut Arıkan Deniz Department of Obstetrics and Gynecology, University of Kahramanmaras Sutcu Imam School of Medicine, Kahramanmaras, Turkey aut Turgut Emre Department of Obstetrics and Gynecology, Istanbul Education and Research Hospital, Istanbul, Turkey aut Ozkurkcugil Cuneyd Department of Urology, University of Kocaeli School of Medicine, Kocaeli, Turkey aut Yılmaz Hasan Department of Urology, University of Kocaeli School of Medicine, Kocaeli, Turkey aut Ekerbicer Hasan Department of Public Health, University of Kahramanmaras Sutcu Imam School of Medicine, Kahramanmaras, Turkey aut Archives of Gynecology and Obstetrics Springer-Verlag 284/1(2011-07-01), 125-130 0932-0067 284:1<125 2011 284 404 https://doi.org/10.1007/s00404-010-1619-6 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-010-1619-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Sahinkanat Tayfun Department of Urology, University of Kahramanmaras Sutcu Imam School of Medicine, Kahramanmaras, Turkey aut NATIONALLICENCE 700 1- Arıkan Deniz Department of Obstetrics and Gynecology, University of Kahramanmaras Sutcu Imam School of Medicine, Kahramanmaras, Turkey aut NATIONALLICENCE 700 1- Turgut Emre Department of Obstetrics and Gynecology, Istanbul Education and Research Hospital, Istanbul, Turkey aut NATIONALLICENCE 700 1- Ozkurkcugil Cuneyd Department of Urology, University of Kocaeli School of Medicine, Kocaeli, Turkey aut NATIONALLICENCE 700 1- Yılmaz Hasan Department of Urology, University of Kocaeli School of Medicine, Kocaeli, Turkey aut NATIONALLICENCE 700 1- Ekerbicer Hasan Department of Public Health, University of Kahramanmaras Sutcu Imam School of Medicine, Kahramanmaras, Turkey aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 284/1(2011-07-01), 125-130 0932-0067 284:1<125 2011 284 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer