Factors Predictive of Urinary Retention After a Tension-Free Vaginal Tape Procedure for Female Stress Urinary Incontinence
- 1 September 2003
- journal article
- Published by Ovid Technologies (Wolters Kluwer Health) in Journal of Urology
- Vol. 170 (3), 852-856
- https://doi.org/10.1097/01.ju.0000081095.85420.ab
Abstract
Purpose: We performed this study to evaluate factors related to urinary retention after a tension-free vaginal tape (TVT) procedure for female stress urinary incontinence. Materials and Methods: We retrospectively analyzed the records of 375 women with a followup of at least 6 months from among patients who underwent the TVT procedure between March 1999 and May 2002 at our institution. We analyzed multiple parameters, including patient characteristics, symptoms and urodynamic studies, using univariate and multivariate regression analyses with respect to postoperative urinary retention, as defined by the need for intermittent catheterization for at least 3 days after the procedure. All patients in the nonretention (343) and retention (32) groups answered a global satisfaction question. Results: In answer to a global satisfaction question 338 of the 375 patients (90.1%) favored the procedure. Univariate analysis demonstrated that patient mean age, parity, peak urinary flow and a history of hysterectomy predicted urinary retention. However, on multivariate analyses the peak urinary flow rate was the only significant independent predictive factor (p = 0.007). While 28 patients (87.5%) in the retention group regained normal voiding without a specific procedure, 4 required tape release or cutting within 3 month of surgery. The global satisfaction question showed a significant difference between the nonretention and retention groups (91.5% vs 75% satisfaction, p = 0.03). Conclusions: An accurate measurement of the peak urinary flow rate could predict women at risk for postoperative urinary retention that compromises global satisfaction after the highly curative TVT procedure.Keywords
This publication has 16 references indexed in Scilit:
- Urinary retention after tension-free vaginal tape procedure: incidence and treatmentUrology, 2001
- Ultrasonographic and urodynamic evaluation after tension free vagina tape procedure (TVT)Acta Obstetricia et Gynecologica Scandinavica, 2001
- Sling techniques in the treatment of genuine stress incontinenceBJOG: An International Journal of Obstetrics and Gynaecology, 2000
- TRANSVAGINAL URETHROLYSIS FOR URETHRAL OBSTRUCTION AFTER ANTI-INCONTINENCE SURGERYJournal of Urology, 1998
- An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinenceInternational Urogynecology Journal, 1996
- Sub-urethral slings for treatment of stress urinary incontinenceInternational Urogynecology Journal, 1994
- Structural support of the urethra as it relates to stress urinary incontinence: The hammock hypothesisAmerican Journal of Obstetrics and Gynecology, 1994
- Use of preoperative uroflowmetry and simultaneous urethrocystometry for predicting risk of prolonged postoperative bladder drainageUrology, 1986
- Endoscopic Suspension of the Vesical Neck for Urinary Incontinence in FemalesAnnals of Surgery, 1980
- Treatment of urinary incontinence by implantable prosthetic sphincterUrology, 1973