Voiding dysfunction following suburethral tape

• Published in: Journal of obstetrics and gynaecology Vol. 31; no. 5; p. 424
• Main Authors: Madhuvrata, P, Ford, J, Merrick, K, Boachie, C, Abdel-Fattah, M
• Format: Journal Article
• Language: English
• Published: England 01.07.2011
• Subjects: Adult; Aged; Female; Humans; Middle Aged; Multivariate Analysis; Postoperative Complications - etiology; Retrospective Studies; Suburethral Slings; Urinary Incontinence, Stress - surgery; Urination Disorders - etiology; Urodynamics
• ISSN: 1364-6893
• DOI: 10.3109/01443615.2011.568074

Voiding dysfunction (VD) is relatively common following suburethral tape insertion. Our study aimed to identify perioperative variables that predict VD. Women who underwent suburethral tapes (TVT(TM) and TVT-O(TM)), either as sole procedure or with a concomitant prolapse repair, were studied retrospectively. The primary outcome was women requiring catheterisation and/or re-catheterisation in the postoperative period. A total of 319 women underwent suburethral tapes within the study period: 256 case notes (80.2%) were available for review and 40/256 women (15.6%) developed postoperative VD. No preoperative urinary symptoms were associated with postoperative VD. Univariate analysis demonstrated three variables associated with VD: average flow rate (Q-ave) ≤5th centile (odds ratio (OR) 2.3, 95% CI 1.2-6.5, p = 0.016), a combination of Q-ave and maximum flow rate (Q-max) ≤5th centile (OR 2.8, 95% CI 1.1-6.9, p = 0.030) and concomitant prolapse procedure (OR 3.6, 95% CI 1.5-8.9, p = 0.005). Following multivariate logistic regression Q-ave ≤5th centile and concomitant prolapse procedure showed the strongest association with VD.