title: Voiding dysfunction following suburethral tape.
abstract: 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.
authors.affiliation: Department of Obstetrics and Gynaecology, Sheffield Teaching Hospital Foundation Trust, Sheffield, UK. priyamadhuvrata@nhs.net
authors.forename: P
authors.initials: P
authors.lastname: Madhuvrata
authors.forename: J
authors.initials: J
authors.lastname: Ford
authors.forename: K
authors.initials: K
authors.lastname: Merrick
authors.forename: C
authors.initials: C
authors.lastname: Boachie
authors.forename: M
authors.initials: M
authors.lastname: Abdel-Fattah
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008875:Middle Aged; D015999:Multivariate Analysis; D011183:Postoperative Complications / Q000209:etiology*; D012189:Retrospective Studies; D053825:Suburethral Slings; D014550:Urinary Incontinence, Stress / Q000601:surgery; D014555:Urination Disorders / Q000209:etiology*; D014563:Urodynamics