MRI scouts novel approach to urinary incontinence

February 7, 2008 Diagnostic Imaging. MRI scouts novel approach to urinary incontinence Imaging allows surgeons to successfully discern anatomy of pelvic diaphragm and viscera, avoiding complications By Stanton M. Regan, and Christopher P. Steidle, M.D. -------------------------------------------------------------------------------- MR imaging is helping radiologists and surgeons plan and monitor a novel surgical procedure developed to treat stress urinary incontinence. The transobturator tape approach uses a different pathway than previous approaches, thereby reducing the risk of serious complications such as bowel and bladder perforation. Beginning in the 1930s, various procedures have been designed to treat stress incontinence, all fraught with poor long-term success rates.1-4 Tension-free tape (TVT) and other midurethra sling approaches have been successful at treating genuine stress urinary incontinence. Unfortunately, some extremely dangerous complications, such as bowel or bladder perforation, have been associated with the treatments. 5-10

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