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Related Experiment Videos

Voiding dysfunction following TVT procedure.

K H Wang1, K H Wang, M Neimark

  • 1Armed Forces Taichung General Hospital, Taichung, Taiwan, ROC.

International Urogynecology Journal and Pelvic Floor Dysfunction
|December 6, 2002
PubMed
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The tension-free vaginal tape (TVT) procedure for incontinence has similar success and abnormal voiding rates compared to other methods. Preoperative uroflow issues and postoperative UTIs are linked to voiding dysfunction after TVT placement.

Area of Science:

  • Urology
  • Gynecology
  • Pelvic Floor Surgery

Background:

  • Stress urinary incontinence (SUI) and mixed urinary incontinence (MUI) significantly impact women's quality of life.
  • The tension-free vaginal tape (TVT) procedure is a common surgical intervention for SUI and MUI.

Purpose of the Study:

  • To evaluate the incidence of abnormal voiding in patients following TVT placement.
  • To identify factors associated with postoperative voiding dysfunction after TVT surgery.

Main Methods:

  • A cohort of women who underwent TVT procedures were assessed for voiding habits, including frequency, urgency, nocturia, stream quality, and incontinence.
  • Post-void residual (PVR) volume was measured via ultrasound, and pelvic examinations were conducted.
  • Patients were categorized into 'normal' and 'abnormal' voiding groups based on predefined criteria.

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Main Results:

  • Out of 59 women, 42 (74%) had normal voiding and 15 (26%) had abnormal voiding.
  • Urinary continence was achieved by 86% of patients (93% in the normal voiding group, 67% in the abnormal voiding group).
  • Factors associated with abnormal voiding included abnormal preoperative uroflow, low preoperative peak flow rate, preoperative vault prolapse/enterocele, concurrent vault suspension surgery, and postoperative urinary tract infection (UTI).

Conclusions:

  • The TVT sling procedure demonstrates comparable success and voiding dysfunction rates to other anti-incontinence procedures.
  • Preoperative uroflow abnormalities and postoperative UTIs were identified as significant predictors of voiding dysfunction.
  • Tension-free tape placement may not entirely prevent the development of postoperative voiding dysfunction.