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Incidence and predictors of prolonged urinary retention after TVT with and without concurrent prolapse surgery.

Publication ,  Journal Article
Sokol, AI; Jelovsek, JE; Walters, MD; Paraiso, MFR; Barber, MD
Published in: Am J Obstet Gynecol
May 2005

OBJECTIVES: The purpose of this study was to describe the time to adequate voiding, incidence of urinary retention, and predictors of voiding efficiency and urinary retention after tension-free vaginal tape (TVT) with and without concurrent prolapse surgery. STUDY DESIGN: Medical records of patients who underwent TVT between August 1999 and July 2003 were reviewed. Urinary retention was defined as the need for urethrolysis, urethral dilation, or postoperative catheterization for >6 weeks. Linear and logistic regression models were used to determine predictors of time to adequate voiding and urinary retention. RESULTS: Two hundred sixty-seven patients were available for analysis; 66% had concurrent prolapse repair, 4% had concurrent laparoscopically assisted vaginal hysterectomy (LAVH), and 30% had an isolated TVT. TVT with and without concurrent prolapse repair or LAVH were statistically similar with respect to median days to voiding (8 vs 5) and the rate of urinary retention (11.2% vs 11.3%). Overall, 4.9% underwent urethrolysis, 1.9% received urethral dilation, and 4.1% required prolonged catheterization. Increasing age, decreasing BMI, and postoperative urinary tract infection were independent predictors of time to adequate voiding. Previous history of incontinence surgery was the only independent predictor of urinary retention (Adjusted odds ratio [AOR] 2.96, 95%CI [1.17-7.06]). CONCLUSION: Concurrent prolapse surgery does not appear to significantly alter postoperative voiding efficiency or increase the risk of prolonged urinary retention compared with TVT alone.

Duke Scholars

Published In

Am J Obstet Gynecol

DOI

ISSN

0002-9378

Publication Date

May 2005

Volume

192

Issue

5

Start / End Page

1537 / 1543

Location

United States

Related Subject Headings

  • Uterine Prolapse
  • Urologic Surgical Procedures
  • Urination
  • Urinary Retention
  • Urinary Incontinence, Stress
  • Treatment Outcome
  • Time Factors
  • Retrospective Studies
  • Obstetrics & Reproductive Medicine
  • Middle Aged
 

Citation

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Chicago
ICMJE
MLA
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Sokol, A. I., Jelovsek, J. E., Walters, M. D., Paraiso, M. F. R., & Barber, M. D. (2005). Incidence and predictors of prolonged urinary retention after TVT with and without concurrent prolapse surgery. Am J Obstet Gynecol, 192(5), 1537–1543. https://doi.org/10.1016/j.ajog.2004.10.623
Sokol, Andrew I., John E. Jelovsek, Mark D. Walters, Marie Fidela R. Paraiso, and Matthew D. Barber. “Incidence and predictors of prolonged urinary retention after TVT with and without concurrent prolapse surgery.Am J Obstet Gynecol 192, no. 5 (May 2005): 1537–43. https://doi.org/10.1016/j.ajog.2004.10.623.
Sokol AI, Jelovsek JE, Walters MD, Paraiso MFR, Barber MD. Incidence and predictors of prolonged urinary retention after TVT with and without concurrent prolapse surgery. Am J Obstet Gynecol. 2005 May;192(5):1537–43.
Sokol, Andrew I., et al. “Incidence and predictors of prolonged urinary retention after TVT with and without concurrent prolapse surgery.Am J Obstet Gynecol, vol. 192, no. 5, May 2005, pp. 1537–43. Pubmed, doi:10.1016/j.ajog.2004.10.623.
Sokol AI, Jelovsek JE, Walters MD, Paraiso MFR, Barber MD. Incidence and predictors of prolonged urinary retention after TVT with and without concurrent prolapse surgery. Am J Obstet Gynecol. 2005 May;192(5):1537–1543.
Journal cover image

Published In

Am J Obstet Gynecol

DOI

ISSN

0002-9378

Publication Date

May 2005

Volume

192

Issue

5

Start / End Page

1537 / 1543

Location

United States

Related Subject Headings

  • Uterine Prolapse
  • Urologic Surgical Procedures
  • Urination
  • Urinary Retention
  • Urinary Incontinence, Stress
  • Treatment Outcome
  • Time Factors
  • Retrospective Studies
  • Obstetrics & Reproductive Medicine
  • Middle Aged