title: Voiding dysfunction after the tension-free vaginal tape procedure.
abstract: OBJECTIVE
  To assess the incidence of voiding dysfunction in women undergoing a tension-free vaginal tape (TVT) procedure and report our experience with nonsurgical and surgical management.
  
  
  METHODS
  Pre- and postoperative introital ultrasonographic measurement of the residual volume was performed in a prospective observational study. Patients' perception of micturition and continence status was assessed by questionnaire.
  
  
  RESULTS
  Of 478 women, 4 (0.8%) suffered from micturition disturbance within the first 2 weeks. In the mean of 3 months after surgery, 7.1% of the patients had residual volume between 50 and 100 ml, and 2.6% had residual volume >100 ml. 243 women were investigated after 39 months (range 12-74). The rate of residual volume exceeding 50 ml decreased to 6.5% and was approximated to the preoperative period.
  
  
  CONCLUSIONS
  Incomplete bladder emptying is a possible problem after TVT. In our cohort, 93% of the women had no voiding disturbances or marginally affected voiding after 12-74 months.
authors.affiliation: Department of Obstetrics and Gynecology, University of Ulm, Ulm, Germany. andreas.reich@uniklinik-ulm.de
authors.forename: Andreas
authors.initials: A
authors.lastname: Reich
authors.forename: Frauke
authors.initials: F
authors.lastname: Kohorst
authors.forename: Rolf
authors.initials: R
authors.lastname: Kreienberg
authors.forename: Felix
authors.initials: F
authors.lastname: Flock
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D015331:Cohort Studies; D005260:Female; D005858:Germany; D006801:Humans; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D011183:Postoperative Complications / Q000209:etiology* / Q000628:therapy; D012720:Severity of Illness Index; D053825:Suburethral Slings / Q000009:adverse effects*; D011795:Surveys and Questionnaires; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D016055:Urinary Retention / Q000209:etiology* / Q000628:therapy; D013520:Urologic Surgical Procedures / Q000009:adverse effects*