Erschienen in:
01.06.2004 | Original Article
Tension-free vaginal tape, Burch, and slings: are there predictors for early postoperative voiding dysfunction?
verfasst von:
Vatche A. Minassian, Ahmed Al-Badr, Harold P. Drutz, Danny Lovatsis
Erschienen in:
International Urogynecology Journal
|
Ausgabe 3/2004
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Abstract
This study compared the incidence, duration, and predictors of early postoperative voiding dysfunction (VD) after three continence operations. Charts of women undergoing tension-free vaginal tape (TVT), Burch, or suburethral sling were reviewed. Early postoperative VD was defined as urinary retention or postvoid residual (PVR) >200 ml at discharge. Analysis of variance, Chi-square, and non-parametric tests were used. Sixty-three TVT, 42 Burch and 33 slings were identified. Incidence of VD with TVT, sling, and Burch was 50, 24, and 15%, respectively (P <0.001), and the mean number of days of postoperative catheter use was 9, 21, and 5 days, respectively (P=0.04). Patients with VD, compared with those with normal voiding, had smaller preoperative PVR (50 vs. 75 ml, P=0.005), longer catheterization (29 vs. 3 days, P<0.001), and more urinary tract infections (43 vs. 15%, P<0.001). Early postoperative VD is an underreported but frequent postoperative complication which is difficult to predict.