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International Urogynecology Journal

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01.02.2007 | Original Article

The prevalence of voiding difficulty after TVT, its impact on quality of life, and related risk factors

verfasst von: Harry A. M. Vervest, Tanya M. Bisseling, A. Peter M. Heintz, Steven E. Schraffordt Koops

Erschienen in: International Urogynecology Journal | Ausgabe 2/2007

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Abstract

Objective: To determine the prevalence of voiding difficulty (VD), quality of life, and related risk factors after tension-free vaginal tape (TVT). Design: Prospective cohort study in 703 women with a TVT procedure for stress urinary incontinence. Main outcome measures: VD stated by women, Urogenital Distress Inventory (UDI-6) question 5 (difficulty in emptying the bladder), maximum flow rate, postvoid residual urine, necessity of postoperative catheterization, tape division, and impact on quality of life (Incontinence Impact Questionnaire, IIQ-7). Results: Postoperative catheterization (>24 h) was necessary in 11% and tape division in 1.3% of patients. There were 26% of women who stated VD and 25% reported moderate to great impairment on the UDI-6 after 36 months. While the negative impact on the outcome of TVT in women with abnormal voiding compared to women without is higher, the impact decreased significantly after TVT, implying a considerable improvement in quality of life. Pre-operative existing voiding difficulty and concomitant prolapse surgery were independent risk factors. Conclusions: Symptoms of VD occurred after TVT and caused lesser improvement in quality of life.

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Titel: The prevalence of voiding difficulty after TVT, its impact on quality of life, and related risk factors
verfasst von: Harry A. M. Vervest
Tanya M. Bisseling
A. Peter M. Heintz
Steven E. Schraffordt Koops
Publikationsdatum: 01.02.2007
Verlag: Springer-Verlag
Erschienen in: International Urogynecology Journal / Ausgabe 2/2007
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-006-0127-5

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