The etiology of urinary retention after surgery for genuine stress incontinence

FitzGerald, Mary P.; Brubaker, Linda

doi:10.1002/1520-6777(2001)20:1<13::aid-nau3>3.0.co;2-r

Cited by 47 publications

(21 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…These results confirm the findings by Bhatia and Bergman who showed that preoperative uroflowmetry and postvoid residual volumes were not predictive of postoperative voiding dysfunction after Burch urethropexies [21]. Different theories of urinary retention and VD after surgery for SUI have been suggested including periurethral edema, increased contractility or obstruction of the urethral sphincter, and suppressed contractility of the detrusor muscle [12,22]. FitzGerald and Brubaker showed in ten patients undergoing a Burch or suburethral sling that failure of relaxation of the striated urethral sphincter contributes to postoperative VD [22].…”

Section: Discussionsupporting

confidence: 88%

“…Different theories of urinary retention and VD after surgery for SUI have been suggested including periurethral edema, increased contractility or obstruction of the urethral sphincter, and suppressed contractility of the detrusor muscle [12,22]. FitzGerald and Brubaker showed in ten patients undergoing a Burch or suburethral sling that failure of relaxation of the striated urethral sphincter contributes to postoperative VD [22]. All patients with early postoperative VD in our series underwent urethral sounding and none had any evidence of obstruction.…”

Section: Discussionmentioning

confidence: 63%

See 1 more Smart Citation

Tension-free vaginal tape, Burch, and slings: are there predictors for early postoperative voiding dysfunction?

Minassian

Al‐Badr

Drutz

et al. 2004

International Urogynecology Journal and Pelvic Floor Dysfunctio

View full text Add to dashboard Cite

This study compared the incidence, duration, and predictors of early postoperative voiding dysfunction (VD) after three continence operations. Charts of women undergoing tension-free vaginal tape (TVT), Burch, or suburethral sling were reviewed. Early postoperative VD was defined as urinary retention or postvoid residual (PVR) >200 ml at discharge. Analysis of variance, Chi-square, and non-parametric tests were used. Sixty-three TVT, 42 Burch and 33 slings were identified. Incidence of VD with TVT, sling, and Burch was 50, 24, and 15%, respectively ( P<0.001), and the mean number of days of postoperative catheter use was 9, 21, and 5 days, respectively ( P=0.04). Patients with VD, compared with those with normal voiding, had smaller preoperative PVR (50 vs. 75 ml, P=0.005), longer catheterization (29 vs. 3 days, P<0.001), and more urinary tract infections (43 vs. 15%, P<0.001). Early postoperative VD is an underreported but frequent postoperative complication which is difficult to predict.

show abstract

Section: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 63%

Tension-free vaginal tape, Burch, and slings: are there predictors for early postoperative voiding dysfunction?

Minassian

Al‐Badr

Drutz

et al. 2004

International Urogynecology Journal and Pelvic Floor Dysfunctio

View full text Add to dashboard Cite

show abstract

“…Periurethral edema, increased contractility or obstruction of the smooth urethral sphincter, failure of relaxation of the striated urethral sphincter, and suppressed contractility of the detrusor muscle have been suggested [29]. No changes in bladder neck position after TVT have been observed as is demonstrated by the cotton swab straining angle (Q-tip test), perineal ultrasound, and MRI studies [11,[30][31][32].…”

Section: Discussionmentioning

confidence: 99%

The prevalence of voiding difficulty after TVT, its impact on quality of life, and related risk factors

et al. 2006

View full text Add to dashboard Cite

show abstract

“…There is minimal literature to support one method of bladder drainage over another (suprapubic vs transurethral) [1,2,3,4,5,6].…”

Section: Introductionmentioning

confidence: 99%

A comparison of outcomes of transurethral versus suprapubic catheterization after Burch cystourethropexy

2004

View full text Add to dashboard Cite

The objective of this study was to evaluate the outcomes of patients with transurethral vs suprapubic catheterization after Burch cystourethropexy. This is a retrospective cohort study of patients who had an anti-incontinence procedure primarily including Burch cystourethropexy with hysterectomy or Burch alone between July 1997 and June 2002 and comparing the outcomes of transurethral vs suprapubic catheters. The suprapubic and transurethral catheter placed were both 16-Fr Foley catheters. The variables analyzed were length of hospital stay, length of catheterization, postoperative fever, and urinary tract infection. The number of postoperative visits and complications within each group were also compared. Analysis was done utilizing Fisher's exact test and Wilcoxon's rank-sum analysis when indicated. We analyzed the charts of 217 patients. The outcomes of surgery (i.e., blood loss, postoperative morbidity, incidence of urinary tract infection, length of hospital stay) in each group did not statistically differ. There was a significant difference in length of cauterization: 7.1 days for the transurethral group and 9.61 days for the suprapubic group, a 1.79 day difference (p=0.001) and a difference in the number of visits for complaints of pain, 2.5 visits for the suprapubic group, 3.5 visits for the transurethral group (p=0.01). There were no differences in outcomes whether a transurethral or suprapubic catheter was used. There was a significant difference in duration of catheterization and extra visits to the clinic or hospital with a practitioner for the complaint of pain. Patients with a transurethral catheter had on the average one more visit than those with the suprapubic catheter.

show abstract

The etiology of urinary retention after surgery for genuine stress incontinence

Cited by 47 publications

References 27 publications

Tension-free vaginal tape, Burch, and slings: are there predictors for early postoperative voiding dysfunction?

Tension-free vaginal tape, Burch, and slings: are there predictors for early postoperative voiding dysfunction?

The prevalence of voiding difficulty after TVT, its impact on quality of life, and related risk factors

A comparison of outcomes of transurethral versus suprapubic catheterization after Burch cystourethropexy

Contact Info

Product

Resources

About