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Risk factors associated with voiding dysfunction after anti-incontinence surgery

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Abstract

Introduction and hypothesis

The aim of this study is to investigate the risk factors of voiding dysfunction occurring within 1 month after surgical treatment of urinary incontinence.

Methods

Medical records of 903 women who underwent anti-incontinence surgery at Yonsei Medical Health System from January 1999 to April 2007 were reviewed. The patient demographics, urodynamic parameters, pelvic organ prolapse stage, surgical procedures, and concomitant surgery were retrospectively evaluated. Postoperative voiding dysfunction was defined as post-void residual urine measuring greater than 100 cc at two or more successive trials.

Results

Age, menopausal status, maximum flow rate, average flow rate, post-void residual, anti-incontinence surgery type, stage of pelvic organ prolapse, and concomitant prolapse surgery were associated predictors of voiding dysfunction after anti-incontinence surgery. In multivariate analysis, concomitant anterior colporrhaphy (OR 2.4; 95% CI 1.38–4.11) was the only independent risk factor.

Conclusions

The most important risk factor associated with voiding dysfunction was concomitant anterior colporrhaphy.

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References

  1. Herzog AR, Fultz NH (1990) Prevalence and incidence of urinary incontinence in community dwelling populations. J Am Geriatr Soc 38:273–281

    CAS  PubMed  Google Scholar 

  2. Hinoul P, Roovers JP, Ombelet W, Vanspauwen R (2009) Surgical management of urinary stress incontinence in women: a historical and clinical overview. Eur J Obstet Gynecol Reprod Biol 145:219–225

    Article  PubMed  Google Scholar 

  3. Sweeney DD, Leng WW (2005) Treatment of postoperative voiding dysfunction following incontinence surgery. Curr Urol Rep 6:365–370

    Article  PubMed  Google Scholar 

  4. Delorme E, Droupy S, de Tayrac R, Delmas V (2004) Transobturator tape (Uratape): a new minimally invasive procedure to treat female urinary incontinence. Eur Urol 45:203–207

    Article  PubMed  Google Scholar 

  5. deTayrac R, Deffieux X, Droupy S, Chauveaud-Lambling A, Calvanèse-Benamour L, Fernandez H (2004) A prospective, randomized trial comparing tension-free vaginal tape and transobturator suburethral tape for surgical treatment of stress urinary incontinence. Am J Obstet Gynecol 190:602–608

    Article  PubMed  Google Scholar 

  6. de Leval J (2003) Novel surgical technique for the treatment of female stress urinary incontinence: transobturator vaginal tape inside out. Eur Urol 44:724–730

    Article  PubMed  Google Scholar 

  7. Costa P, Grise P, Droupy S, Monneins F, Assenmacher C, Ballanger P et al (2004) Surgical treatment of female stress urinary incontinence with a trans-obturator tape (TOT) Uratape: short-term results of a prospective multicentric study. Eur Urol 46:102–107

    Article  CAS  PubMed  Google Scholar 

  8. Tsivian A, Kessler O, Mogutin B, Rosenthal J, Korczak D, Levin S et al (2004) Tape-related complications of the tension-free vaginal tape procedure. J Urol 171:762–764

    Article  CAS  PubMed  Google Scholar 

  9. Kuuva N, Nilsson CG (2002) A nationwide analysis of complications associated with the tension-free vaginal tape (TVT) procedure. Acta Obstet Gynecol Scand 81:72–77

    Article  PubMed  Google Scholar 

  10. Klutke C, Siegel S, Carlin B, Paszkiewicz E, Kirkemo A, Klutke J (2001) Urinary retention after tension-free vaginal tape procedure: incidence and treatment. Urology 58:697–701

    Article  CAS  PubMed  Google Scholar 

  11. Abouassaly R, Steinberg JR, Lemieux M, Marois C, Gilchrist LI, Bourque JL et al (2004) Complications of tension-free vaginal tape surgery: a multi-institutional review. BJU Int 94:110–113

    Article  PubMed  Google Scholar 

  12. Bodelsson G, Henriksson L, Osser S, Stjernquist M (2002) Short-term complications of the tension-free vaginal tape operation for stress urinary incontinence in women. BJOG 109:566–569

    Article  PubMed  Google Scholar 

  13. Bump RC, Mattiasson A, BØ K, Brubaker LP, DeLancey JO, Klarskov P et al (1996) The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol 175:10–17

    Article  CAS  PubMed  Google Scholar 

  14. Cross CA, Cespedes RD, McGuire EJ (1998) Our experience with pubovaginal slings in patients with stress urinary incontinence. J Urol 159:1195–1198

    Article  CAS  PubMed  Google Scholar 

  15. Ulmsten U, Henriksson L, Johnson P, Varhos G (1996) An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct 7:81–86

    Article  CAS  PubMed  Google Scholar 

  16. Delorme E (2001) Transobturator urethral suspension: mini-invasive procedure in the treatment of stress urinary incontinence in women. Prog Urol 11:1306–1313

    CAS  PubMed  Google Scholar 

  17. Serati M, Salvatore S, Uccella S, Artibani W, Novara G, Cardozo L et al (2009) Surgical treatment for female stress urinary incontinence: what is the gold-standard procedure? Int Urogynecol J Pelvic Floor Dysfunct 20:619–621

    Article  PubMed  Google Scholar 

  18. Ulmsten U, Petros P (1995) Intravaginal slingplasty (IVS): an ambulatory surgical procedure for treatment of female urinary stress incontinence. Scand J Urol Nephrol 29:75–82

    Article  CAS  PubMed  Google Scholar 

  19. Bai SW, Jeon MJ, Kim JY, Chung KA, Kim SK, Park KH (2002) Relationship between stress urinary incontinence and pelvic organ prolapse. Int Urogynecol J Pelvic Floor Dysfunct 13:256–260

    Article  CAS  PubMed  Google Scholar 

  20. Jeon MJ, Kim SK, Bai SW (2007) Concomitant pelvic reconstructive surgery and transobturator tape for SUI. Int J Gynaecol Obstet 96:47–48

    Article  CAS  PubMed  Google Scholar 

  21. Lo TS, Chang TC, Chao AS, Chou HH, Tseng LH, Liang CC (2003) Tension-free vaginal tape procedure on genuine stress incontinent women with coexisting genital prolapse. Acta Obstet Gynecol Scand 82:1049–1053

    PubMed  Google Scholar 

  22. Mutone N, Brizendine E, Hale D (2003) Factors that influence voiding function after the tension-free vaginal tape procedure for stress urinary incontinence. Am J Obstet Gynecol 188:1477

    Article  PubMed  Google Scholar 

  23. Lasala CA (2003) Incomplete bladder emptying after the tension-free vaginal tape procedure, necessitating release of the mesh. A report of three cases. J Reprod Med 48:387–390

    PubMed  Google Scholar 

  24. Sze EH, Miklos JR, Karram MM (1996) Voiding after Burch colposuspension and effects of concomitant pelvic surgery: correlation with preoperative voiding mechanism. Obstet Gynecol 88:564–567

    Article  CAS  PubMed  Google Scholar 

  25. Iglesia CB, Shott S, Fenner DE, Brubaker L (1998) Effect of preoperative voiding mechanism on success rate of autologous rectus fascia suburethral sling procedure. Obstet Gynecol 91:577–581

    Article  CAS  PubMed  Google Scholar 

  26. Nguyen JK (2002) Diagnosis and treatment of voiding dysfunction caused by urethral obstruction after anti-incontinence surgery. Obstet Gynecol Surv 57:468–475

    Article  PubMed  Google Scholar 

  27. Stanton SL, Cardozo L, Chaudhury N (1978) Spontaneous voiding after surgery for urinary incontinence. Br J Obstet Gynaecol 85:149–152

    CAS  PubMed  Google Scholar 

  28. Weinberger MW, Ostergard DR (1996) Postoperative catheterization, urinary retention, and permanent voiding dysfunction after polytetrafluoroethylene suburethral sling placement. Obstet Gynecol 87:50–54

    Article  CAS  PubMed  Google Scholar 

  29. Sokol AI, Jelovsek JE, Walters MD, Paraiso MF, Barber MD (2005) Incidence and predictors of prolonged urinary retention after TVT with and without concurrent prolapse surgery. Am J Obstet Gynecol 192:1537–1543

    Article  PubMed  Google Scholar 

  30. Kleeman S, Goldwasser S, Vassallo B, Karram M (2002) Predicting postoperative voiding efficiency after operation for incontinence and prolapse. Am J Obstet Gynecol 187:49–52

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Yonsei University Health System, Seoul, Korea

    Sue-Min Chung, Yeo-Jung Moon & Sei-Kwang Kim

  2. Department of Obstetrics and Gynecology, Seoul National University, Seoul, Korea

    Myung-Jae Jeon

  3. Department of Urogynecology, Yonsei University Health System, Seoul, Korea

    Sang-Wook Bai

  4. Department of Obstetrics and Gynecology, Yonsei University College of Medicine, 134 Shinchon-dong, Seodaemoon-gu, Seoul, 120-752, Korea

    Sang-Wook Bai

Authors
  1. Sue-Min Chung
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  2. Yeo-Jung Moon
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  3. Myung-Jae Jeon
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  4. Sei-Kwang Kim
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  5. Sang-Wook Bai
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Corresponding author

Correspondence to Sang-Wook Bai.

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Chung, SM., Moon, YJ., Jeon, MJ. et al. Risk factors associated with voiding dysfunction after anti-incontinence surgery. Int Urogynecol J 21, 1505–1509 (2010). https://doi.org/10.1007/s00192-010-1229-7

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  • DOI: https://doi.org/10.1007/s00192-010-1229-7

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