Retrospective case modelling to assess the impact of early intervention for voiding dysfunction after retropubic tape. When is it best to intervene?
OBJECTIVE
This study is a retrospective modelling of early intervention for voiding difficulties (VD) after retropubic tape insertion.


METHODS
Chart review assessing Trial Without Catheter (TWOC) on day 2 and day 9 and long-term VD. Number needed to treat (NNT) analysis performed for presumed intervention on days 2 and 9.


RESULTS
Thirty seven (22%) of 171 patients failed TWOC on day 2, 20 (12%) on day 9. Ten (6%) had VD at 6 months. Five elected to have the tape cut. One had recurrence of SUI. NNT was 7.4:1 on day 2 and 4:1 on day 9 to avoid per tapes being cut at 6 months. Early intervention would potentially lead to six and three additional failures, respectively, assuming 80% continence. This represents over 100 per annum in the United Kingdom.


CONCLUSIONS
The majority of VD after retropubic tape insertion will resolve. Early intervention may lead to additional failures.
Huwyler
Mirjam
M
Birmingham Women's Hospital, Metchley Park Road, Edgbaston, Birmingham, B15 2TG, UK. mhuwyler@hotmail.com
Burton
Claire
C
Renganathan
Arasee
A
Latthe
Pallavi
P
Robinson
Dudley
D
Parsons
Matthew
M
Cardozo
Linda
L
Toozs-Hobson
Philip
P
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D008875:Middle Aged; D008962:Models, Theoretical; D012189:Retrospective Studies; D053825:Suburethral Slings; D013997:Time Factors; D014550:Urinary Incontinence, Stress / Q000601:surgery*