Factors predictive of voiding problems following insertion of tension-free vaginal tape

Abstract

Objective: To identify predictive factors of urinary retention following a tension-free vaginal tape (TVT) procedure, so that patients may be better advised of their risk of undergoing catheterization and tape release. Method: A retrospective review of women who underwent a TVT procedure over five years. Patient age, pressure flow rate, concomitant vaginal surgery, and the form of anesthesia used for the surgery were analyzed. The Mann-Whitney U Test and logistic regression were used to explore the effect of these factors. Results: Because of the small sample size, none of these factors were shown to be significantly predictive of postoperative voiding difficulty. However, there could be a correlation between postoperative voiding difficulty and concomitant posterior vaginal repair as well as lower preoperative flow rate. Conclusion: No significant predictive factors were found, but there was a trend toward long-term voiding difficulty for women who underwent posterior vaginal repair and women with low preoperative flow rates. © 2006 Elsevier Ireland Ltd. All rights reserved.