Factors Predictive of Urinary Retention After a Tension-Free Vaginal Tape Procedure for Female Stress Urinary Incontinence

Hong, Bumsik; Park, Sungchan; Kim, Hong Sik; Choo, Myung‐Soo

doi:10.1097/01.ju.0000081095.85420.ab

Cited by 128 publications

(91 citation statements)

References 16 publications

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“…A prospective trial of 89 women who underwent the midurethral sling procedure showed low peak flow rate to be the only independent variable for a successful initial voiding trial (16). This is consistent with another retrospective study of 375 patients by Hong et al (17), which also found lower preoperative peak flow rates as a risk factor. In this study, the parameter for VD was defined as the need to catheterize for 72 hours or longer after surgery.…”

Section: Urodynamic Parameterssupporting

confidence: 80%

“…CISC is performed three or four times daily until the residual decreases to less than 100 ml, or at most 50% of the voided volume (37). Although several reports have shown some benefit with urethral dilatation (17,38), recent reports have proven urethral dilation to be ineffective in most patients with urethral obstruction after TVT procedures. Additionally, repeated urethral dilation may predispose to the development urethral erosion and could induce scarring of the urethra (24,39,40).…”

Section: Conservative Treatmentmentioning

confidence: 99%

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Evaluation and management of voiding dysfunction after midurethral sling procedures

Çelik

Harmanli

2012

J Turkish German Gynecol Assoc

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Section: Urodynamic Parameterssupporting

confidence: 80%

Section: Conservative Treatmentmentioning

confidence: 99%

Evaluation and management of voiding dysfunction after midurethral sling procedures

Çelik

Harmanli

2012

J Turkish German Gynecol Assoc

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“…19,20 The mean age of patients both with and without voiding difficulty was less than 60 in each study. Sevestre et al 21 reported the cure rate of TVT in 76 women over 70 years of age as 67% but provided no comparison data from younger women.…”

Section: Discussionmentioning

confidence: 86%

Morbidity of incontinence surgery in women over 70 years old: a retrospective cohort study

Pugsley¹,

Barbrook²,

Mayne³

et al. 2005

BJOG

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Objective To compare the success rate and complications after colposuspension and tension-free vaginal tape (TVT) insertion in women aged 70 years or more compared with younger women. Design A retrospective study of patients having surgery between November 2000 and October 2002.Setting A tertiary referral, academic urogynaecology unit in a University teaching hospital.Population Two hundred and twenty-six women having surgical treatment for urinary incontinence.Methods Data on cure/improvement and complications were extracted from the notes. Patients were grouped by age at surgery and the odds ratios (OR) and 95% confidence intervals (CI) for each outcome were calculated. Main outcome measures Subjective cure rate and the incidence of complications by age group.Results One hundred and three patients had colposuspension, 11 (10.7%) aged 70 or more. One hundred and twenty-three patients had TVT insertions, 23 (18.7%) aged 70 or more. The cure rate for each procedure was similar between age groups. After colposuspension, urinary tract infection (UTI; OR 11.33; 95% CI 2.61, 49.28) and long term self-catheterisation (percentage of difference 9.1; 95% CI 3.0, 15.2) were more common in women over 70. After TVT, repeat urodynamics (OR 3.91; 95% CI 1.11, 13.76), recurrent UTI (OR 4.22; 95% CI 1.03, 17.26) and tape division (OR 29.12; 95% CI 3.20, 264.86) were more common in older women. Conclusions Incontinence surgery carries a higher risk of complications in the elderly including UTI and voiding dysfunction. Extended antibiotic prophylaxis and intermittent self-catheterisation training should be offered to elderly women before surgery.

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“…18 Pre-operative urodynamic variables have been evaluated to assess their predictive value in postoperative voiding dysfunction. [19][20][21][22] The risk of bladder injury is considerably lower, less than 1% with the transobturator approach, but it does exist and hence Cystoscopy should be considered in TOT procedures as well. 23 The risk of urethral perforation with needle passage in transobturator space is 0.1-2.5%.…”

Section: Discussionmentioning

confidence: 99%

Long term safety, efficacy and clinical outcomes of transobturator tension free tape (inside-out technique) in women with stress urinary incontinence

Penmetsa¹,

Guntoory²,

Namburi³

et al. 2018

Int J Reprod Contracept Obstet Gynecol

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Background: Stress urinary incontinence (SUI) is commonly encountered in Gynaecological practice. The management of stress urinary incontinence underwent a paradigm shift with focus changing from bladder neck suspension to support of mid urethra in the last two decades. The aim of our study is to know the safety, efficacy, subjective and objective outcomes of Transobturator Tension Free Tape (TOT) (in-out technique) in women with Stress urinary incontinence.Methods: This is a prospective study conducted in the departments of Gynaecology and Urology at Maharajah’s Institute of Medical Sciences, Nellimerla, Vizianagaram district, Andhra Pradesh, India. 62 patients were treated with Tension Free Trans-obturator tape with inside-out technique using polypropylene mesh. This study was conducted from June 2012 to May 2014. These women were followed up annually for a period of 3 years af-ter surgery. 3 year subjective and objective outcomes were assessed. Subjective outcome is defined as no loss or leak of urine on physical activity and objective outcome is defined as negative Pad test.Results: The subjective and objective cure rates were 91.93% and 95.16% respectively.Conclusions: Transobturator Tension free Tape is an effective treatment for Stress urinary in-continence in women providing high subjective and objective efficacy upto 3 years after surgery.

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Factors Predictive of Urinary Retention After a Tension-Free Vaginal Tape Procedure for Female Stress Urinary Incontinence

Abstract: 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.

Cited by 128 publications

References 16 publications

Evaluation and management of voiding dysfunction after midurethral sling procedures

Evaluation and management of voiding dysfunction after midurethral sling procedures

Morbidity of incontinence surgery in women over 70 years old: a retrospective cohort study

Long term safety, efficacy and clinical outcomes of transobturator tension free tape (inside-out technique) in women with stress urinary incontinence

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