Factors that influence voiding function after the tension-free vaginal tape procedure for stress urinary incontinence.
OBJECTIVE
The purpose of this study was to determine the time to the resumption of voiding after the tension-free vaginal tape procedure and to identify factors that are associated with postoperative voiding dysfunction.


METHODS
The records of 153 patients who underwent the tension-free vaginal tape procedure were reviewed. Time to normal voiding was recorded as (1) before hospital discharge, (2) after hospital discharge but during the first 2 postoperative weeks, or (3) after the first 2 postoperative weeks. The Kruskal-Wallis test was used for continuous factors, and the Pearson chi(2) test was used for for categoric factors. The significance level was alpha =.2.


RESULTS
Eighty-four patients (55%) voided normally before hospital dismissal: 38 patients (25%) during the first 2 weeks and 31 patients (20%) after 2 weeks. Factors that show a trend of association with delayed voiding were previous incontinence surgery (P =.08), previous prolapse surgery (P =.06), and age (P =.17).


CONCLUSIONS
Most patients who underwent the tension-free vaginal tape procedure voided normally by 2 weeks after the procedure. Return to normal voiding took longer in older patients and those patients with a history of incontinence or prolapse operations.
Mutone
Nina
N
Division of Female Pelvic Medicine and Reconstructive Surgery, Indiana University School of Medicine/Methodist Hospital, Indianapolis, 46202, USA. nmutone@yahoo.com
Brizendine
Edward
E
Hale
Douglass
D
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D007196:Indiana; D008499:Medical Records; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D011183:Postoperative Complications / Q000209:etiology*; D019736:Prostheses and Implants; D012189:Retrospective Studies; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D014555:Urination Disorders / Q000209:etiology*; D013520:Urologic Surgical Procedures / Q000379:methods*; D014596:Uterine Prolapse / Q000601:surgery*; D014621:Vagina