Outcome of tension-free vaginal tape procedure when complicated by intraoperative cystotomy.
OBJECTIVE
The objective of this study was to determine risk factors for intra-operative cystotomy during TVT and whether this affects surgical outcome and morbidity.


METHODS
Charts of 340 women who underwent TVT were reviewed. Those who had a cystotomy during the procedure (cases) were compared with those without (controls) for the variables: age, race, parity, body mass index (BMI), TVT with or without other procedures, previous pelvic surgery, blood loss, length of catheter drainage, UTI, and voiding dysfunction. The t-test and chi-squared test were used and differences resulting in P < .05 were statistically significant.


RESULTS
Cystotomy occurred in 49/340 TVT procedures (14.4%). Only those who had a history of abdominal hysterectomy and BMI greater than 26.5 were more likely to have a cystotomy (P = .05 and P = .001, respectively). Cases were more likely to go home with catheter drainage (P = .005). There was no increased risk of UTI or voiding dysfunction, nor was there a difference in surgical cure rate.


CONCLUSIONS
Cystotomy does not seem to negatively affect the outcome of the TVT procedure.
LaSala
Christine A
CA
Division of Urogynecology, Hartford Hospital, Hartford, CT 06106, USA. clasala@harthosp.org
Schimpf
Megan O
MO
Udoh
Eteakamba
E
O'Sullivan
David M
DM
Tulikangas
Paul
P
D000046:Academic Medical Centers / Q000706:statistics & numerical data; D000368:Aged; D015992:Body Mass Index; D003237:Connecticut / Q000453:epidemiology; D003558:Cystoscopy; D004867:Equipment Design; D005260:Female; D006801:Humans; D015994:Incidence; D008875:Middle Aged; D053832:Surgical Tape; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000293:injuries*; D014550:Urinary Incontinence, Stress / Q000473:pathology / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000009:adverse effects*; D014621:Vagina; D014950:Wounds, Penetrating / Q000453:epidemiology / Q000209:etiology*