Factors predictive of voiding problems following insertion of tension-free vaginal tape

Shukla, Ami; Paul, Sanjoy K.; Nishtar, A.; Bibby, J.

doi:10.1016/j.ijgo.2006.10.013

Cited by 12 publications

(7 citation statements)

References 13 publications

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“…Other factors, such as age over 65 years, additional surgical procedures and low Qmax in UFM are also risk factors for delayed voiding 8 . Low Qmax in UFM is also a predictor for postoperative long‐term voiding difficulty after surgery using a synthetic graft of polypropylene tape 18,19 . Unfortunately, there have been heterogeneous outcomes with regard to risk factors for postoperative voiding difficulty.…”

Section: Discussionmentioning

confidence: 99%

Clinical and urodynamic outcomes of pubovaginal sling procedure with autologous rectus fascia for stress urinary incontinence

et al. 2007

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Aim:We report the clinical and urodynamic outcomes of the pubovaginal sling procedure with autologous rectus fascia for stress urinary incontinence (SUI) and determined the urodynamic parameters that could predict the occurrence of postoperative voiding difficulty. Methods: Between 1998 and 2005, a total of 29 consecutive women with SUI underwent pubovaginal sling surgery with autologous rectus fascia. Patients were preoperatively and postoperatively evaluated with regard to symptoms and urodynamic findings including uroflowmetry (UFM), postvoid residual urine volume (PVR), filling cystometry (CMG) and pressure flow study (PFS). Results: Overall SUI was cured in 23 patients (80%) and improved in 3 patients (10%). Three patients (10%) who developed persistent urinary retention or severe voiding difficulty after surgery underwent urethrolysis. Of 17 patients who had urgency before the pubovaginal sling, urgency was cured postoperatively in seven, while de novo urgency appeared in one patient. Maximum flow rate (Qmax) in UFM was significantly decreased (P < 0.05) and PVR was increased (P = 0.08) after surgery. PFS showed a significant increase in detrusor opening pressure and detrusor pressure at Qmax (P < 0.01) after surgery. Eight patients (28%) needed prolonged intermittent self-catheterization. Patients who had PVR >100 mL (P < 0.05) or Qmax Յ20 mL/s (P = 0.09) in preoperative UFM were more likely to require prolonged intermittent catheterization after surgery. Conclusions:The pubovaginal sling procedure with autologous rectus fascia is an effective treatment for SUI. A comparison of preoperative and postoperative urodynamic parameters indicates an increase in urethral resistance after pubovaginal sling surgery. PVR >100 mL and Qmax Յ20 mL/s before surgery are risk factors for postoperative voiding difficulty.

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Section: Discussionmentioning

confidence: 99%

Clinical and urodynamic outcomes of pubovaginal sling procedure with autologous rectus fascia for stress urinary incontinence

et al. 2007

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“…There is, however, some evidence that average and maximum flow rates may be useful in predicting post-operative voiding dysfunction and retention following retropubic and transobturator midurethral slings [45-47]. Post-hoc evidence suggests, on the other hand, that surgical procedures for stress urinary incontinence that are more “obstructive” increase the risk of de novo overactive bladder syndrome [47,48]. …”

Section: Urodynamic Testingmentioning

confidence: 99%

The evidence for urodynamic investigation of patients with symptoms of urinary incontinence

Rosier

2013

F1000Prime Rep

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Urodynamic studies are the gold standard to objectively diagnose dysfunction of the lower urinary tract. The widely available evidence for the clinical relevance is, however, fragmented. This article summarizes the published knowledge supporting the use of urodynamic studies in urinary incontinence in female, male and frail patients, as well as patients with relevant neurological disease. Five technological innovations are discussed briefly. Standard urodynamic cystometry can, on the basis of a solid body of evidence, objectively unveil the entire function of the lower urinary tract in all patients with urinary incontinence, regardless of the patients' perception of (ab-)normality of signs and or symptoms.

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“…Postoperative urinary retention after MUS procedures may in many cases resolve after a few days with intermittent catheterization. This is, therefore, often the preferred method . If the postoperative urinary retention is not resolved with intermittent catheterization, transection of the sling has commonly been performed .…”

Section: Introductionmentioning

confidence: 99%

Sling mobilization in the management of urinary retention after mid‐urethral sling surgery

Moksnes

Svenningsen

Schiøtz

et al. 2016

Neurourology and Urodynamics

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Factors predictive of voiding problems following insertion of tension-free vaginal tape

Abstract: No significant predictive factors were found, but there was a trend toward long-term voiding difficulty for women who underwent posterior vaginal repair and women with low preoperative flow rates.

Cited by 12 publications

References 13 publications

Clinical and urodynamic outcomes of pubovaginal sling procedure with autologous rectus fascia for stress urinary incontinence

Clinical and urodynamic outcomes of pubovaginal sling procedure with autologous rectus fascia for stress urinary incontinence

The evidence for urodynamic investigation of patients with symptoms of urinary incontinence

Sling mobilization in the management of urinary retention after mid‐urethral sling surgery

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