International Urogynecology Journal

, Volume 15, Issue 3, pp 183–187 | Cite as

Tension-free vaginal tape, Burch, and slings: are there predictors for early postoperative voiding dysfunction?

  • Vatche A. Minassian
  • Ahmed Al-Badr
  • Harold P. Drutz
  • Danny Lovatsis
Original Article

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.

Keywords

Burch Incontinence Sling TVT Voiding dysfunction 

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Copyright information

© International Urogynecological Association 2004

Authors and Affiliations

  • Vatche A. Minassian
    • 1
  • Ahmed Al-Badr
    • 1
  • Harold P. Drutz
    • 1
  • Danny Lovatsis
    • 1
  1. 1.Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and GynecologyMount Sinai Hospital, University of TorontoTorontoCanada

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