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01.07.2010 | Original Article

Retrospective case modelling to assess the impact of early intervention for voiding dysfunction after retropubic tape. When is it best to intervene?

verfasst von: Mirjam Huwyler, Claire Burton, Arasee Renganathan, Pallavi Latthe, Dudley Robinson, Matthew Parsons, Linda Cardozo, Philip Toozs-Hobson

Erschienen in: International Urogynecology Journal | Ausgabe 7/2010

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Abstract

Introduction and hypothesis

This study is a retrospective modelling of early intervention for voiding difficulties (VD) after retropubic tape insertion.

Methods

Chart review assessing Trial Without Catheter (TWOC) on day 2 and day 9 and long-term VD. Number needed to treat (NNT) analysis performed for presumed intervention on days 2 and 9.

Results

Thirty seven (22%) of 171 patients failed TWOC on day 2, 20 (12%) on day 9. Ten (6%) had VD at 6 months. Five elected to have the tape cut. One had recurrence of SUI. NNT was 7.4:1 on day 2 and 4:1 on day 9 to avoid per tapes being cut at 6 months. Early intervention would potentially lead to six and three additional failures, respectively, assuming 80% continence. This represents over 100 per annum in the United Kingdom.

Conclusions

The majority of VD after retropubic tape insertion will resolve. Early intervention may lead to additional failures.

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Titel: Retrospective case modelling to assess the impact of early intervention for voiding dysfunction after retropubic tape. When is it best to intervene?
verfasst von: Mirjam Huwyler
Claire Burton
Arasee Renganathan
Pallavi Latthe
Dudley Robinson
Matthew Parsons
Linda Cardozo
Philip Toozs-Hobson
Publikationsdatum: 01.07.2010
Verlag: Springer-Verlag
Erschienen in: International Urogynecology Journal / Ausgabe 7/2010
Print ISSN: 0937-3462
Elektronische ISSN: 1433-3023
DOI: https://doi.org/10.1007/s00192-010-1104-6

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Retrospective case modelling to assess the impact of early intervention for voiding dysfunction after retropubic tape. When is it best to intervene?