Voiding dysfunction following suburethral tape

Madhuvrata, P, Ford, J, Merrick, K, Boachie, C and Abdel-Fattah, M (2011) Voiding dysfunction following suburethral tape. Journal of Obstetrics and Gynaecology, 31 (5). pp. 424-8. ISSN 1364-6893

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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.

Item Type: Article
Uncontrolled Keywords: adult,aged,female,humans,middle aged,multivariate analysis,postoperative complications,retrospective studies,suburethral slings,urinary incontinence, stress,urination disorders,urodynamics
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
Depositing User: Pure Connector
Date Deposited: 12 Nov 2014 16:48
Last Modified: 21 Apr 2020 23:32
URI: https://ueaeprints.uea.ac.uk/id/eprint/50678
DOI: 10.3109/01443615.2011.568074

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