Factors affecting transient urinary retention after transobturator tape mid-urethral sling surgery for female patients with stress urinary incontinence

A single center experience

Jae Heon Kim, Su Hwan Shin, Mi-Mi Oh, Jae Young Park, Jeong Gu Lee, Jae Hyun Bae

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Objective: To identify the incidence and potential risk factors affecting postoperative transient urinary retention (TR) with transobturator tape (TOT) mid-urethral sling surgery for female patients with stress urinary incontinence (SUI). Study design: We reviewed the medical records of 305 patients with SUI who underwent the TOT procedure. Postoperative TR was defined as follows: (1) patients had still voiding difficulty after removing the Foley catheter postoperatively and (2) straining pattern of postoperative voiding with the post-void residual urine volume (PVR) larger than 100 mL during 1st or 2nd trial of self-voiding and (3) these voiding problems are resolved within 48 h without any special treatment. The Foley catheter was removed routinely on the first postoperative day. Age, previous pelvic surgery history, co-existence of cystocele, number of vaginal deliveries and all urodynamic parameters were analyzed and compared between the TR group and control group. Results: The incidence of TR was 9.5%. Comparative analysis revealed concomitant prolapse surgery including anterior and posterior repair, Valsalva leak point pressure and preoperative PVR. In multivariate analysis, preoperative PVR proved to be a potential risk factor for TR. Conclusion: TR was not a rare postoperative complication after TOT procedures. Potential risk factors for transient retention include preoperative PVR.

Original languageEnglish
Pages (from-to)107-111
Number of pages5
JournalEuropean Journal of Obstetrics Gynecology and Reproductive Biology
Volume168
Issue number1
DOIs
Publication statusPublished - 2013 May 1

Fingerprint

Suburethral Slings
Stress Urinary Incontinence
Urinary Retention
Catheters
Cystocele
Residual Volume
Urodynamics
Prolapse
Incidence
Medical Records
Multivariate Analysis
History
Urine
Pressure
Control Groups

Keywords

  • Anti-incontinence surgery
  • Stress urinary incontinence
  • Urinary retention
  • Voiding dysfunction

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynaecology

Cite this

@article{4d8d5ef7a1384093b56f7f02c121d99e,
title = "Factors affecting transient urinary retention after transobturator tape mid-urethral sling surgery for female patients with stress urinary incontinence: A single center experience",
abstract = "Objective: To identify the incidence and potential risk factors affecting postoperative transient urinary retention (TR) with transobturator tape (TOT) mid-urethral sling surgery for female patients with stress urinary incontinence (SUI). Study design: We reviewed the medical records of 305 patients with SUI who underwent the TOT procedure. Postoperative TR was defined as follows: (1) patients had still voiding difficulty after removing the Foley catheter postoperatively and (2) straining pattern of postoperative voiding with the post-void residual urine volume (PVR) larger than 100 mL during 1st or 2nd trial of self-voiding and (3) these voiding problems are resolved within 48 h without any special treatment. The Foley catheter was removed routinely on the first postoperative day. Age, previous pelvic surgery history, co-existence of cystocele, number of vaginal deliveries and all urodynamic parameters were analyzed and compared between the TR group and control group. Results: The incidence of TR was 9.5{\%}. Comparative analysis revealed concomitant prolapse surgery including anterior and posterior repair, Valsalva leak point pressure and preoperative PVR. In multivariate analysis, preoperative PVR proved to be a potential risk factor for TR. Conclusion: TR was not a rare postoperative complication after TOT procedures. Potential risk factors for transient retention include preoperative PVR.",
keywords = "Anti-incontinence surgery, Stress urinary incontinence, Urinary retention, Voiding dysfunction",
author = "Kim, {Jae Heon} and Shin, {Su Hwan} and Mi-Mi Oh and Park, {Jae Young} and Lee, {Jeong Gu} and Bae, {Jae Hyun}",
year = "2013",
month = "5",
day = "1",
doi = "10.1016/j.ejogrb.2012.12.013",
language = "English",
volume = "168",
pages = "107--111",
journal = "European Journal of Obstetrics and Gynecology and Reproductive Biology",
issn = "0028-2243",
publisher = "Elsevier Ireland Ltd",
number = "1",

}

TY - JOUR

T1 - Factors affecting transient urinary retention after transobturator tape mid-urethral sling surgery for female patients with stress urinary incontinence

T2 - A single center experience

AU - Kim, Jae Heon

AU - Shin, Su Hwan

AU - Oh, Mi-Mi

AU - Park, Jae Young

AU - Lee, Jeong Gu

AU - Bae, Jae Hyun

PY - 2013/5/1

Y1 - 2013/5/1

N2 - Objective: To identify the incidence and potential risk factors affecting postoperative transient urinary retention (TR) with transobturator tape (TOT) mid-urethral sling surgery for female patients with stress urinary incontinence (SUI). Study design: We reviewed the medical records of 305 patients with SUI who underwent the TOT procedure. Postoperative TR was defined as follows: (1) patients had still voiding difficulty after removing the Foley catheter postoperatively and (2) straining pattern of postoperative voiding with the post-void residual urine volume (PVR) larger than 100 mL during 1st or 2nd trial of self-voiding and (3) these voiding problems are resolved within 48 h without any special treatment. The Foley catheter was removed routinely on the first postoperative day. Age, previous pelvic surgery history, co-existence of cystocele, number of vaginal deliveries and all urodynamic parameters were analyzed and compared between the TR group and control group. Results: The incidence of TR was 9.5%. Comparative analysis revealed concomitant prolapse surgery including anterior and posterior repair, Valsalva leak point pressure and preoperative PVR. In multivariate analysis, preoperative PVR proved to be a potential risk factor for TR. Conclusion: TR was not a rare postoperative complication after TOT procedures. Potential risk factors for transient retention include preoperative PVR.

AB - Objective: To identify the incidence and potential risk factors affecting postoperative transient urinary retention (TR) with transobturator tape (TOT) mid-urethral sling surgery for female patients with stress urinary incontinence (SUI). Study design: We reviewed the medical records of 305 patients with SUI who underwent the TOT procedure. Postoperative TR was defined as follows: (1) patients had still voiding difficulty after removing the Foley catheter postoperatively and (2) straining pattern of postoperative voiding with the post-void residual urine volume (PVR) larger than 100 mL during 1st or 2nd trial of self-voiding and (3) these voiding problems are resolved within 48 h without any special treatment. The Foley catheter was removed routinely on the first postoperative day. Age, previous pelvic surgery history, co-existence of cystocele, number of vaginal deliveries and all urodynamic parameters were analyzed and compared between the TR group and control group. Results: The incidence of TR was 9.5%. Comparative analysis revealed concomitant prolapse surgery including anterior and posterior repair, Valsalva leak point pressure and preoperative PVR. In multivariate analysis, preoperative PVR proved to be a potential risk factor for TR. Conclusion: TR was not a rare postoperative complication after TOT procedures. Potential risk factors for transient retention include preoperative PVR.

KW - Anti-incontinence surgery

KW - Stress urinary incontinence

KW - Urinary retention

KW - Voiding dysfunction

UR - http://www.scopus.com/inward/record.url?scp=84876926389&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84876926389&partnerID=8YFLogxK

U2 - 10.1016/j.ejogrb.2012.12.013

DO - 10.1016/j.ejogrb.2012.12.013

M3 - Article

VL - 168

SP - 107

EP - 111

JO - European Journal of Obstetrics and Gynecology and Reproductive Biology

JF - European Journal of Obstetrics and Gynecology and Reproductive Biology

SN - 0028-2243

IS - 1

ER -