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

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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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Acknowledgements

We thank all the patients and the secretarial and nursing staff of the participating hospitals for their cooperation. We acknowledge Dr. Pien van Brummen, for her statistical support, and the following gynecologists and urologists: LWAR Berger, MGM Bergmans, S de Blok, PF Boekkooi, SD Bos, RSGM Bots, GM Bouw, HAM Brölmann, M de Bruin, FPHLJ Dijkhuizen, CA Fiedeldey, S Friese, JM van Geelen, DA Gietelink, J de Graaff, JF ter Haar, E Hallensleben, JW Hoekstra, CJA Hogewoning, JWM Hutten, W IJzerman, MM IJand, PHNM Kampschoer, C Kerckhoffs, MHHM Kerkhof, PH van Kessel, PJM Kil, JH Kleinjan, H Kragt, MVAM Kroeks, D de Lange, IL Lie, AHP Meier, WFA Mensink, GJ Montagne, AFP Mulder, SH Oerlemans, R Pal, AAF Plancken, NTCM de Pree, F Reijnders, RJCI Sassen, J Scheepers, JA Schrickx, JJM. Schroeder, NPL Venema, ME Vierhout, NPJ Vreuls, JJ de Vries, PHS Wassenberg, LCG Wetzels, AFGVM Ypma, and AF Zürcher.

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Authors and Affiliations

  1. Department of Gynecology and Obstetrics, St. Elisabeth Hospital, P.O. Box 90151, 5000, Tilburg, LC, The Netherlands

    Harry A. M. Vervest & Tanya M. Bisseling

  2. Department of Perinatology and Gynecology, University Medical Center Utrecht, Utrecht, The Netherlands

    A. Peter M. Heintz

  3. Department of Gynecology and Obstetrics, Meander Medical Centre, Amersfoort, The Netherlands

    Steven E. Schraffordt Koops

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  1. Harry A. M. Vervest
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  2. Tanya M. Bisseling
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  3. A. Peter M. Heintz
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  4. Steven E. Schraffordt Koops
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Correspondence to Harry A. M. Vervest.

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Vervest, H.A.M., Bisseling, T.M., Heintz, A.P.M. et al. The prevalence of voiding difficulty after TVT, its impact on quality of life, and related risk factors. Int Urogynecol J 18, 173–182 (2007). https://doi.org/10.1007/s00192-006-0127-5

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  • DOI: https://doi.org/10.1007/s00192-006-0127-5

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