The dorsal nerve of the clitoris in relation to urinary incontinence sling procedures

Show simple item record Van der Walt, Sone Van Wijk, Frans Jacob Abdool, Zeelha Oettle, Anna Catherina 2016-09-26T08:55:06Z 2017-01
dc.description.abstract INTRODUCTION AND HYPOTHESIS : To avoid injury to the perineal branches of the pudendal nerve during urinary incontinence sling procedures, a thorough knowledge of the course of these nerve branches is essential. The dorsal nerve of the clitoris (DNC) may be at risk when performing the retropubic (tension-free vaginal tape) procedure as well as the inside-out and outside-in transobturator tape procedures. The purpose of this study was to identify the anatomical relationships of the DNC to the tapes placed during the procedures mentioned and to determine the influence of body variations. METHODS : In this cadaveric study, the body mass index (cBMI) of unembalmed cadavers was determined. Suburethral tape procedures were performed by a registered urologist and gynecologist on a sample of 15 female cadavers; six retropubic, seven inside-out and nine outside-in transobturator tapes were inserted. After embalmment, dissections were performed and the distances between the DNC and the tapes measured. RESULTS : In general the trajectory of the outside-in tape was closer to the DNC than that of the other tapes. cBMI was weakly and nonsignificantly correlated with the distance between the trajectory of the tape and the DNC for the inside-out tape and the tension-free vaginal tape, but not for the outside-in tape. CONCLUSIONS : The findings suggest that the DNC is less likely to be injured during the inside-out tape procedure than during the outside-in procedure, regardless of BMI. Future studies on larger samples are desirable to confirm these findings. en_ZA
dc.description.department Anatomy en_ZA
dc.description.department Obstetrics and Gynaecology en_ZA
dc.description.department Urology en_ZA
dc.description.embargo 2018-01-30
dc.description.librarian hb2016 en_ZA
dc.description.uri en_ZA
dc.identifier.citation Van der Walt, S., Van Wijk, F.J., Abdool, Z. & Oettlé, A.C. The dorsal nerve of the clitoris in relation to urinary incontinence sling procedures. International Urogynecology Journal (2017) 28: 119-123. doi:10.1007/s00192-016-3086-5. en_ZA
dc.identifier.issn 9505-0235
dc.identifier.other 10.1007/s00192-016-3086-5
dc.language.iso en en_ZA
dc.publisher Springer en_ZA
dc.rights © The International Urogynecological Association 2016. The original publication is available at : The original publication is available at : en_ZA
dc.subject Body mass index (BMI) en_ZA
dc.subject Pudendal nerve en_ZA
dc.subject Retropubic tape en_ZA
dc.subject Transobturator tape en_ZA
dc.subject Dorsal nerve of the clitoris (DNC) en_ZA
dc.title The dorsal nerve of the clitoris in relation to urinary incontinence sling procedures en_ZA
dc.type Postprint Article en_ZA

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