title: Early postoperative voiding dysfunction after insertion of retropubic midurethral tape.
abstract: OBJECTIVE
  A significant proportion of patients develop voiding dysfunction after midurethral tape (MUT) insertion, which reduces patient satisfaction. The study's purpose was to identify predictive factors of voiding dysfunction after a retropubic MUT procedure.
  
  
  METHODS
  This was a retrospective study of 100 patients who underwent only a retropubic MUT procedure between January 2010 and December 2011. Early voiding dysfunction was defined when patients required a Foley catheter within 48 h. Data including demographic information, urogenital symptoms, previous surgery, preoperative uroflowmetry and urodynamic parameters were analysed using SPSS v22. Univariate analysis of all demographic variables was performed; those significant at 10 % were entered into a multivariate logistic regression.
  
  
  RESULTS
  Fourteen patients required Foley catheter insertion, with a median age of 58 years (26-83 years), median BMI 28 kg/m(2) (20-48 kg/m2), and median parity 2 (0-4). Univariate analysis revealed peak flow rate <15 ml/s (OR 3.79; 1.07, 13.4; p = 0.046), bladder capacity (p = 0.044), stress incontinence versus mixed or urge incontinence (p = 0.064) and previous surgery (OR 4.39; 1.34, 14.41; p = 0.015) to be associated with voiding dysfunction. Multivariate analysis showed only previous pelvic floor surgery to be independently associated (OR 3.76; 1.14, 12.23, p = 0.029).
  
  
  CONCLUSIONS
  Only previous pelvic-floor surgery was found to be a strong predictive factor of voiding dysfunction. The rate of voiding dysfunction was similar to those of published data. Previous studies revealed different predictive factors. A larger cohort is needed to provide a definite answer. Those with previous surgery appear to be those most at risk and pre-surgical counselling for these women could be suggested.
authors.affiliation: Department of Obstetrics and Gynaecology, University Hospitals of Leicester NHS Foundation Trust, Leicester, Leicestershire, LE1 5WW, UK. hmlucena@doctors.org.uk.
authors.forename: Hayser Medina
authors.initials: HM
authors.lastname: Lucena
authors.affiliation: Department of Obstetrics and Gynaecology Peterborough and Stamford Hospital NHS Foundation Trust, Peterborough, Cambridgeshire, UK.
authors.forename: Harnek
authors.initials: H
authors.lastname: Rai
authors.affiliation: Department of Obstetrics and Gynaecology Peterborough and Stamford Hospital NHS Foundation Trust, Peterborough, Cambridgeshire, UK.
authors.forename: Chrysostomos
authors.initials: C
authors.lastname: Siozos
authors.affiliation: Department of Health Sciences, University of Leicester, Leicester, UK.
authors.forename: Douglas G
authors.initials: DG
authors.lastname: Tincello
authors.affiliation: Department of Obstetrics, Northampton General Hospital NHS Trust, Northampton, Northamptonshire, UK.
authors.forename: Sambita
authors.initials: S
authors.lastname: Basak
authors.affiliation: Department of Urogynaecology, Norfolk and Norwich University Hospital NHS Trust, Norwich, Norfolk, UK.
authors.forename: Ilias
authors.initials: I
authors.lastname: Giarenis
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D015994:Incidence; D008875:Middle Aged; D015999:Multivariate Analysis; D011183:Postoperative Complications; D012189:Retrospective Studies; D012307:Risk Factors; D053825:Suburethral Slings / Q000009:adverse effects*; D014546:Urinary Catheterization; D014549:Urinary Incontinence / Q000601:surgery*; D014563:Urodynamics; D013520:Urologic Surgical Procedures / Q000009:adverse effects*
keywords: Retropubic midurethral tape; Stress incontinence; Voiding dysfunction