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Related Experiment Video

Updated: Jun 1, 2026

Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy

Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy

Published on: June 16, 2022

Voiding dysfunction following suburethral tape.

P Madhuvrata¹, J Ford, K Merrick

¹Department of Obstetrics and Gynaecology, Sheffield Teaching Hospital Foundation Trust, Sheffield, UK. priyamadhuvrata@nhs.net

Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology

|June 2, 2011

Summary

This summary is machine-generated.

Voiding dysfunction (VD) is common after suburethral tape surgery. Lower average urine flow rate and undergoing a prolapse repair alongside the tape insertion predict postoperative VD.

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Area of Science:

Urology
Gynecology

Background:

Voiding dysfunction (VD) is a frequent complication after suburethral tape procedures for stress urinary incontinence.
Identifying predictive factors for VD is crucial for patient counseling and surgical planning.

Purpose of the Study:

To identify perioperative variables that predict the occurrence of postoperative voiding dysfunction in women undergoing suburethral tape insertion.

Main Methods:

Retrospective review of 256 women who underwent suburethral tape procedures (TVT™ and TVT-O™).
Primary outcome: need for postoperative catheterization or re-catheterization.
Analysis of preoperative symptoms, uroflowmetry parameters (average flow rate - Q-ave, maximum flow rate - Q-max), and concomitant procedures.

Main Results:

15.6% of women developed postoperative VD.
No preoperative urinary symptoms were associated with VD.
Univariate analysis identified Q-ave ≤5th centile, combined Q-ave and Q-max ≤5th centile, and concomitant prolapse procedures as significant predictors.
Multivariate analysis confirmed Q-ave ≤5th centile and concomitant prolapse procedures as the strongest predictors of VD.

Conclusions:

Preoperative low average urine flow rate and performing a concurrent prolapse repair are significant predictors of postoperative voiding dysfunction after suburethral tape surgery.
These factors should be considered in patient selection and surgical decision-making to mitigate VD risk.