Voiding dysfunction following suburethral tape

P Madhuvrata, J Ford, K Merrick, C Boachie, M Abdel-Fattah

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9 Citations (Scopus)


Voiding dysfunction (VD) is relatively common following suburethral tape insertion. Our study aimed to identify perioperative variables that predict VD. Women who underwent suburethral tapes (TVT(TM) and TVT-O(TM)), either as sole procedure or with a concomitant prolapse repair, were studied retrospectively. The primary outcome was women requiring catheterisation and/or re-catheterisation in the postoperative period. A total of 319 women underwent suburethral tapes within the study period: 256 case notes (80.2%) were available for review and 40/256 women (15.6%) developed postoperative VD. No preoperative urinary symptoms were associated with postoperative VD. Univariate analysis demonstrated three variables associated with VD: average flow rate (Q-ave) ≤5th centile (odds ratio (OR) 2.3, 95% CI 1.2-6.5, p = 0.016), a combination of Q-ave and maximum flow rate (Q-max) ≤5th centile (OR 2.8, 95% CI 1.1-6.9, p = 0.030) and concomitant prolapse procedure (OR 3.6, 95% CI 1.5-8.9, p = 0.005). Following multivariate logistic regression Q-ave ≤5th centile and concomitant prolapse procedure showed the strongest association with VD.
Original languageEnglish
Pages (from-to)424-428
Number of pages5
JournalJournal of Obstetrics and Gynaecology
Issue number5
Publication statusPublished - Jul 2011


  • Adult
  • Aged
  • Female
  • Humans
  • Middle Aged
  • Multivariate Analysis
  • Postoperative Complications
  • Retrospective Studies
  • Suburethral Slings
  • Urinary Incontinence, Stress
  • Urination Disorders
  • Urodynamics

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