The DOI matches its Crossref record; 4 of the 4 references it cites were found in a registry or an index.
Anatomy of the obturator region: relations to a trans-obturator sling
Abstract
Our objective was to determine the relationships between a trans-obturator sling and anatomic structures within the obturator region. The obturator regions of six cadavers were dissected and distances from the mid-point of the ischiopubic ramus to the muscles, nerves, and vessels of the region were measured. A trans-obturator sling was placed and distances from the device to the same anatomic structures were determined. Four additional cadavers were dissected to determine the device route of passage. The obturator canal is on average 4.4 cm from the midpoint of the ischiopubic rami. The trans-obturator sling passes on average 2.4 cm inferior-medial to the obturator canal. The anterior and posterior divisions of the obturator nerve are on average 3.4 and 2.8 cm, respectively, from a passed trans-obturator device. The device passed on average 1.1 cm from the most medial branch of the obturator vessels. Vascular and nerve structures are within 1-3 cm of the path of any device passed through the obturator foramen. A trans-obturator sling risks injury to these structures, although the small caliber of the vessels and the confined space in which they would bleed make the consequences of injury uncertain.
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Younger women are more likely to experience recurrence after surgery.
“age is an important factor in recurrence, as younger women are more likely to experience recurrence after surgery [25,30].”
From Recurrence Rate and Risk Factors for Apical Prolapse After Sacrospinous Ligament Fixation: A Prospective Cohort Study (2026) · cites this paper as [25]
Citations
Cites
Delorme, E. (2001) · PubMed · Cited by 1,129
Skandalakis, L. J., Androulakis, J. A., Colborn, G. L., et al. (2000) · Surgical Clinics of North America · doi:10.1016/s0039-6109(05)70398-4 · Cited by 69
Dargent, D. F. G., Bretones, S., George, P., et al. (2002) · Gynécologie Obstétrique & Fertilité · doi:10.1016/s1297-9589(02)00389-2 · Cited by 63
The relationship of tension-free vaginal tape insertion and the vascular anatomy
Muir, T. W. (2003) · Obstetrics and Gynecology · doi:10.1016/s0029-7844(03)00011-5 · Cited by 49
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Kayondo, M., Kajabwangu, R., Byamukama, O., Ainomugisha, B., Kato, K. P., Tibaijuka, L., Lugobe, H. M., & Geissbuehler, V. (2026) · Cureus · doi:10.7759/cureus.106420
“Women who underwent sacrospinous hysteropexy were generally younger, and age is an important factor in recurrence, as younger women are more likely to experience recurrence after surgery [25,30].”
Metadata
- Authors
- Whiteside, J. L., & Walters, M. D.
- Affiliations
- Cleveland Clinic (US)
- Corresponding author
- Whiteside, James L.
- Venue
- International Urogynecology Journal and Pelvic Floor Dysfunction
- Published
- 2003-07-05
- Volume
- -1
- Issue
- 1
- Pages
- 1-1
- ISSN
- 0937-3462 (ISSN-L)
- 1433-3023
- OpenAlex
- W1965119733
- Cited by
- 131
- References
- 4
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 1 · 2023: 1 · 2022: 5 · 2021: 7 · 2020: 5 · 2019: 4 · 2018: 4 · 2017: 3 · 2016: 5 · 2015: 4 · 2014: 8 · 2013: 6 · 2012: 9
- FWCI
- 3.09
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- International Urogynecology Journal (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Urology › Pelvic floor disorders treatments
- Health Sciences › Medicine › Surgery › Hernia repair and management
- Health Sciences › Medicine › Urology › Ureteral procedures and complications
- Keywords
- obturator canal, obturator nerve, pelvic organ prolapse surgery, cadaveric dissection
- MeSH terms
- Cadaver, Dissection, Female, Hernia, Obturator, Humans, Obturator Nerve, Perineum, Sensitivity and Specificity, Pelvic Floor, Muscle, Skeletal
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