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 journalArticlepeer-review

    19 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 and Gynecology and Reproductive Biology
    Volume168
    Issue number1
    DOIs
    Publication statusPublished - 2013 May

    Keywords

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

    ASJC Scopus subject areas

    • Reproductive Medicine
    • Obstetrics and Gynaecology

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