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.
Birmingham Women's Hospital, Metchley Park Road, Edgbaston, Birmingham, B15 2TG, UK. mhuwyler@hotmail.com
Mirjam
M
Huwyler
Claire
C
Burton
Arasee
A
Renganathan
Pallavi
P
Latthe
Dudley
D
Robinson
Matthew
M
Parsons
Linda
L
Cardozo
Philip
P
Toozs-Hobson
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*