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

Vervest, Harry A.M.; Bisseling, Tanya M.; Heintz, A. Peter M.; Koops, Steven E. Schraffordt

doi:10.1007/s00192-006-0127-5

Cited by 28 publications

(13 citation statements)

References 42 publications

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“…Another study is ongoing to evaluate multichannel urodynamics and uroflowmetry in different positions in all the patients. Using urodynamic evaluation to identify functional obstruction after TVT has been done in several studies [27][28][29][30][31] in which an increase in maximum urethral closure pressure, decreased peak and mean flow rates, and increased voiding detrusor, mean detrusor pressure, and mean urethral resistance have been observed.…”

Section: Discussionmentioning

confidence: 99%

Tension-Free Vaginal Tape and Autologous Rectus Fascia Pubovaginal Sling for the Treatment of Urinary Stress Incontinence: A Medium-Term Follow-Up

Sharifiaghdas

Mortazavi²

2008

Med Princ Pract

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Objectives: To compare two different procedures, tension-free vaginal tape (TVT) and autologous rectus fascia sling, according to their medium-term subjective and objective outcomes and satisfaction rates in the treatment of urinary stress incontinence in women. Subjects and Methods: One hundred women with type II urinary stress incontinence were randomized to be treated with either TVT or autologous rectus fascia sling. They were evaluated by means of a cough-induced stress test, 1-hour pad test, Incontinence Impact Questionnaire (IIQ), and urodynamic study. They were reevaluated postoperatively every 6 months, and the collected data of more than 1 year’s follow-up were compared with preoperative assessments. Results: All patients completed the full 6-month postoperative assessment. However, of the 100 patients, only 61 (25 in the TVT and 36 in the sling group) were followed for more than 1 year. Mean follow-up time was 38.5 and 40 months in the TVT and sling group, respectively. Objective cure was achieved in 22 (88%) of the TVT group and in 30 (83%) of the sling group (p = 0.78) using a cough-induced stress test, and in 76 and 75% of the women in the TVT versus sling group (p = 0.83), respectively, using a 1-hour pad test. Postoperative mean IIQ scores were 44.3 (range 35.5–61.5) and 48.5 (range 38.5–69.7) in the TVT versus sling group (p = 0.46). Five (20%) and 11 (30%) of the TVT and sling group, respectively, reported some changes in the voiding pattern or posture at more than 1 year’s follow-up. Conclusion: There is no significant difference between the TVT and autologous rectus fascia sling procedures in the treatment of urinary stress incontinence at medium-term follow-up. There were changes in the voiding pattern for patients in both groups at more than 1 year postoperatively, which were not evident at early follow-up.

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Section: Discussionmentioning

confidence: 99%

Tension-Free Vaginal Tape and Autologous Rectus Fascia Pubovaginal Sling for the Treatment of Urinary Stress Incontinence: A Medium-Term Follow-Up

Sharifiaghdas

Mortazavi²

2008

Med Princ Pract

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“…In current study, patients undergoing prolapse repair and concomitant antiincontinence surgery were more likely to have elevated PVRV after surgery than those receiving prolapse repairs alone. Vervest et al [26] reported that women with preoperative voiding difficulty who undergo TVT combined with prolapse surgery are at significant risk for developing urinary retention. In contrast, Sokol et al [27] reported that the risk of developing postsurgical urinary retention was statistically similar between TVT procedures with and those without prolapse repair.…”

Section: Discussionmentioning

confidence: 99%

Resolution of elevated postvoid residual volumes after correction of severe pelvic organ prolapse

Liang¹,

Tseng²,

Chang³

et al. 2008

Int Urogynecol J

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We hypothesized that elevated postvoid residual volume (PVRV) would resolve postoperatively in women with severe pelvic organ prolapse (POP) and investigated risk factors that might hamper its resolution. Retrospectively, we enrolled 57 patients undergoing surgery for severe POP. All patients had preoperative PVRV > or = 100 ml documented by ultrasound and catheterization. Presurgical voiding difficulty, urodynamic and cystoscopic data, and surgical outcome were analyzed. The incidence of postsurgical elevated PVRV was 15.8% and 3.5% was symptomatic. Patients with postsurgical elevated PVRV had larger preoperative residual volume than those with normal postsurgical PVRV (P = 0.037). By multivariable analysis, concomitant anti-incontinence surgery was the single independent predictor of postsurgical elevated PVRV (odds ratio = 5.38, P = 0.031). A majority of patients with severe POP had their elevated PVRV resolved postoperatively. Although concomitant anti-incontinence surgery increased the risk of developing elevated PVRV after repair, most remained asymptomatic.

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“…Voiding dysfunction, defined as obstructive voiding symptoms, irritative voiding symptoms, urinary retention, urgency, or urge incontinence, has been reported in as many as 60% of patients who have had anti-incontinence surgery [10]. In one group's review of the literature, voiding dysfunction occurred in 5% to 7% after needle suspension, 2% to 4% after TVT, 5% to 20% after a Marshall-Marchetti-Krantz procedure, and 4% to 22% after Burch colposuspension [11].…”

Section: Postoperative Voiding Dysfunctionmentioning

confidence: 97%

Lower urinary tract and bowel dysfunction after incontinence and prolapse interventions

Nazemi¹,

Kobashi

2007

Curr Bladder Dysfunct Rep

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The incidence of anti-incontinence procedures and surgery for prolapse repairs has increased significantly over the past decade. As more clinicians have embarked on performing these surgeries using new techniques and variations on traditional repairs, complications are starting to be recognized. We review the literature, focusing on postoperative lower urinary tract and bowel dysfunction following surgery for incontinence and pelvic prolapse. We performed a comprehensive review of the literature on interventions for urinary incontinence and pelvic prolapse using MEDLINE and resources cited in those peer-reviewed papers. Postoperative voiding dysfunction including symptomatic bladder outlet obstruction, de novo urgency and urge incontinence, and recurrent stress urinary incontinence appear to be the most common voiding issues after anti-incontinence surgery, with rates varying based on the type of sling used. Bowel dysfunction following prolapse surgery can occur after rectocele repair and sacrocolpopexy or other apical repair and may vary based on the surgical technique and graft reinforcement used. Success rates for incontinence and prolapse repairs remain stable. With the introduction of new techniques, it is important to consider potential postoperative bladder and bowel effects so that clinicians may counsel their patients appropriately prior to intervention.

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

Abstract: Symptoms of VD occurred after TVT and caused lesser improvement in quality of life.

Cited by 28 publications

References 42 publications

Tension-Free Vaginal Tape and Autologous Rectus Fascia Pubovaginal Sling for the Treatment of Urinary Stress Incontinence: A Medium-Term Follow-Up

Tension-Free Vaginal Tape and Autologous Rectus Fascia Pubovaginal Sling for the Treatment of Urinary Stress Incontinence: A Medium-Term Follow-Up

Resolution of elevated postvoid residual volumes after correction of severe pelvic organ prolapse

Lower urinary tract and bowel dysfunction after incontinence and prolapse interventions

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