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International Urogynecology Journal
Published in: International Urogynecology Journal 11/2010

01-11-2010 | Original Article

Complications of the tension-free vaginal tape procedure for stress urinary incontinence

Authors: Ingrid Kristensen, Maysoon Eldoma, Tyler Williamson, Stephen Wood, Tom Mainprize, Sue Ross

Published in: International Urogynecology Journal | Issue 11/2010

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Abstract

Introduction and hypothesis

The purpose of the study was to determine the intraoperative and immediate postoperative complications of tension-free vaginal tapes (TVTs) and risk factors contributing to these.

Methods

The study was a retrospective cohort study of 778 TVT procedures.

Results

The intraoperative and postoperative complications from the study are as follows: Intraoperative complications included bladder perforation (6.6%), blood loss requiring transfusion (0.6%), and laparotomy (0.1%). Postoperatively, 3.1% of patients developed UTI, while 56.0% had difficulty voiding, and 16.6% had retention. Upon discharge, 54.8% of patients voided, 34.3% self-catheterized, and 8.0% had indwelling catheters. Surgeons responsible for more than 100 TVT procedures had one third the odds of a bladder perforation. Previous incontinence or prolapse surgery were risk factors for bladder perforation. Women with voiding dysfunction preoperatively had a 1.80-fold odds of difficulty postoperatively.

Conclusion

Bladder perforation and postoperative retention are the most common complications of TVTs. Risk factors for perforation include less frequent TVT performance and previous prolapse, or incontinence surgery. Preexisting voiding dysfunction leads to postoperative retention.
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Metadata
Title
Complications of the tension-free vaginal tape procedure for stress urinary incontinence
Authors
Ingrid Kristensen
Maysoon Eldoma
Tyler Williamson
Stephen Wood
Tom Mainprize
Sue Ross
Publication date
01-11-2010
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 11/2010
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-010-1210-5

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