Risk factors for voiding dysfunction following midurethral sling operations

Uğur Kemal Öztürk; Esra Keles; Cihat Murat Alınca; Mahmut Kuntay Kokanalı; Orhan Seyfi Aksakal

Research Article

Risk factors for voiding dysfunction following midurethral sling operations

Year 2023, Volume: 40 Issue: 3, 556 - 561, 30.09.2023

Uğur Kemal Öztürk Esra Keles Cihat Murat Alınca Mahmut Kuntay Kokanalı Orhan Seyfi Aksakal

Abstract

We aimed to identify risk factors for postoperative voiding dysfunction following tension-free vaginal tape (TVT) or trans obturator tape (TOT). A retrospective case-control study was conducted on patients who underwent mid-urethral sling procedures over a four-year- period by the same surgical team. The patients were divided into two groups. Patients who needed to loosen the tape materials surgically before being discharged due to persistent postvoid residual bladder volume ≥150 ml and/or difficulty in emptying the bladder were described as postoperative voiding dysfunction (case group). The patients who did not need it were the control group. Demographic information, voiding symptoms, urodynamic evaluation, and intraoperative data were collected from the hospital's medical records. Of 167 patients, 29 (17.4%) were in the case group and 138 (82.6%) were in the control group. At univariate analysis, age, menopausal status, preoperative valsalva leak point pressure measurement, presence of preoperative ≥ grade 3 pelvic organ prolapse, TVT procedure, concomitant anterior colporrhaphy, and vaginal hysterectomy were associated with voiding dysfunction. Multivariate logistic regression revealed that menopausal status, TVT procedure, and concomitant anterior colporrhaphy were significant predictors of postoperative voiding dysfunction.The present study indicated that postoperative voiding dysfunction is more often after TVT than after TOT procedures. Menopausal status and concomitant anterior colporrhaphy increased the risk of postoperative voiding dysfunction. Recognition of these risk factors may enable surgeons to minimize this complication.

Keywords

postoperative complication, TOT, TVT, Voiding dysfunction

Supporting Institution

No funds were received in support of this work. No benefits in any form have been or will be obtained from a commercial party directly or indirectly related to this manuscript's subject.

Thanks

The authors would like to thank the study participants for their contribution.

References

1. Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, et al. The standardisation of terminology in lower urinary tract function: report from the standardisation sub-committee of the International Continence Society. Urology. 2003;61(1):37-49.
2. Weber AM, Taylor RJ, Wei JT, Lemack G, Piedmonte MR, Walters MD. The cost-effectiveness of preoperative testing (basic office assessment vs. urodynamics) for stress urinary incontinence in women. BJU Int. 2002;89(4):356-363.
3. Bates P, Bradley WE, Glen E, Griffiths D, Melchior H, Rowan D, et al. The standardization of terminology of lower urinary tract function. J Urol. 1979;121(5):551-554.
4. Jerry G B, Lauri J R, Dianne M H. Urinary incontinence: pathophysiology, evaluation, treatment overview and nonsurgical management. In Walsh C P, Retik A B, Vaughan E D, Wein A J. Eds. Campbell’s Urology. 7th Ed., USA: Saunders Company, 1998: 1007-1036.
5. Bezerra CA, Bruschini H. Suburethral sling operations for urinary incontinence in women. Cochrane Database Syst Rev. 2001;(3):CD001754.
6. Ulmsten U, Henriksson L, Johnson P, Varhos G. An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 1996;7(2):81-85.
7. Delorme E. La bandelette trans-obturatrice: un procédé mini-invasif pour traiter l'incontinence urinaire d'effort de la femme [Transobturator urethral suspension: mini-invasive procedure in the treatment of stress urinary incontinence in women]. Prog Urol. 2001;11(6):1306-1313.
8. Ripperda CM, Kowalski JT, Chaudhry ZQ, Mahal AS, Lanzer J, Noor N, Good MM, Hynan LS, Jeppson PC, Rahn DD. Predictors of early postoperative voiding dysfunction and other complications following a midurethral sling. Am J Obstet Gynecol. 2016;215(5):656.e1-656.e6.
9. Baden WF, Walker TA. Genesis of the vaginal profile: a correlated classification of vaginal relaxation. Clin Obstet Gynecol. 1972;15(4):1048-1054.
10. Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, et al. The standardisation of terminology in lower urinary tract function: report from the standardisation sub-committee of the International Continence Society. Urology. 2003;61(1):37-49.
11. Groutz A, Gordon D, Lessing JB, Wolman I, Jaffa A, David MP. Prevalence and characteristics of voiding difficulties in women: are subjective symptoms substantiated by objective urodynamic data? Urology. 1999;54(2):268-272.
12. Salin A, Conquy S, Elie C, Touboul C, Parra J, Zerbib M, Debré B, Amsellem-Ouazana D. Identification of risk factors for voiding dysfunction following TVT placement. Eur Urol. 2007;51(3):782-787.
13. Stanton SL, Ozsoy C, Hilton P. Voiding difficulties in the female: prevalence, clinical and urodynamic review. Obstet Gynecol. 1983;61(2):144-147.
14. Ahn C, Bae J, Lee KS, Lee HW. Analysis of voiding dysfunction after transobturator tape procedure for stress urinary incontinence. Korean J Urol. 2015;56(12):823-830.
15. Mutone N, Brizendine E, Hale D. Factors that influence voiding function after the tension-free vaginal tape procedure for stress urinary incontinence. Am J Obstet Gynecol. 2003;188(6):1477-1481.
16. Vervest HA, Bisseling TM, Heintz AP, Schraffordt Koops SE. The prevalence of voiding difficulty after TVT, its impact on quality of life, and related risk factors. Int Urogynecol J Pelvic Floor Dysfunct. 2007;18(2):173-182.
17. Carlile A, Davies I, Rigby A, Brocklehurst JC. Age changes in the human female urethra: a morphometric study. J Urol. 1988;139(3):532-535.
18. Brown JS, Grady D, Ouslander JG, Herzog AR, Varner RE, Posner SF. Prevalence of urinary incontinence and associated risk factors in postmenopausal women. Heart & Estrogen/Progestin Replacement Study (HERS) Research Group. Obstet Gynecol. 1999;94(1):66-70.
19. Hendrix SL, Cochrane BB, Nygaard IE, Handa VL, Barnabei VM, Iglesia C, et al. Effects of estrogen with and without progestin on urinary incontinence. JAMA. 2005;293(8):935-948.
20. Sokol AI, Jelovsek JE, Walters MD, Paraiso MF, Barber MD. Incidence and predictors of prolonged urinary retention after TVT with and without concurrent prolapse surgery. Am J Obstet Gynecol. 2005;192:1537–1543.
21. Barr SA, Thomas A, Potter S, Melick CF, Gavard JA, McLennan MT. Incidence of successful voiding and predictors of early voiding dysfunction after retropubic sling. Int Urogynecol J. 2016;27(8):1209-1214.
22. Dawson T, Lawton V, Adams E, Richmond D. Factors predictive of post-TVT voiding dysfunction. Int Urogynecol J Pelvic Floor Dysfunct. 2007;18(11):1297-1302.
23. Park S, Hong B, Lee KS, Choo MS. Risk factors of voiding dysfunction and patient satisfaction after tension-free vaginal tape procedure. J Korean Med Sci. 2005;20(6):1006-1010.
24. Glavind K, Shim S. Incidence and treatment of postoperative voiding dysfunction after the tension-free vaginal tape procedure. Int Urogynecol J. 2015;26(11):1657-1660.
25. Wang KH, Wang KH, Neimark M, Davila GW. Voiding dysfunction following TVT procedure. Int Urogynecol J Pelvic Floor Dysfunct. 2002;13(6):353-357.
26. Lucena HM, Rai H, Siozos C, Tincello DG, Basak S, Giarenis I. Early postoperative voiding dysfunction after insertion of retropubic midurethral tape. Int Urogynecol J. 2016;27(10):1529-1533.
27. Morey AF, Medendorp AR, Noller MW, Mora RV, Shandera KC, Foley JP, et al. Transobturator versus transabdominal mid urethral slings: a multi-institutional comparison of obstructive voiding complications. J Urol. 2006;175(3Pt1):1014-1017.
28. Tahseen S, Reid PC, Charan P. Short-term complications of the trans-obturator foramen procedure for urinary stress incontinence. J Obstet Gynaecol. 2007;27(5):500-502.
29. Jeffry L, Deval B, Birsan A, Soriano D, Daraï E. Objective and subjective cure rates after tension-free vaginal tape for treatment of urinary incontinence. Urology. 2001;58(5):702-706.
30. Molden S, Patterson D, Tarr M, Sanses T, Bracken J, Nguyen A, Harvie HS, White A, Hammil SA, Murphy M, Rogers RG. Risk factors leading to midurethral sling revision: a multicenter case-control study. Int Urogynecol J. 2010;21(10):1253-1259.

Year 2023, Volume: 40 Issue: 3, 556 - 561, 30.09.2023

Uğur Kemal Öztürk Esra Keles Cihat Murat Alınca Mahmut Kuntay Kokanalı Orhan Seyfi Aksakal

Abstract

References

1. Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, et al. The standardisation of terminology in lower urinary tract function: report from the standardisation sub-committee of the International Continence Society. Urology. 2003;61(1):37-49.
2. Weber AM, Taylor RJ, Wei JT, Lemack G, Piedmonte MR, Walters MD. The cost-effectiveness of preoperative testing (basic office assessment vs. urodynamics) for stress urinary incontinence in women. BJU Int. 2002;89(4):356-363.
3. Bates P, Bradley WE, Glen E, Griffiths D, Melchior H, Rowan D, et al. The standardization of terminology of lower urinary tract function. J Urol. 1979;121(5):551-554.
4. Jerry G B, Lauri J R, Dianne M H. Urinary incontinence: pathophysiology, evaluation, treatment overview and nonsurgical management. In Walsh C P, Retik A B, Vaughan E D, Wein A J. Eds. Campbell’s Urology. 7th Ed., USA: Saunders Company, 1998: 1007-1036.
5. Bezerra CA, Bruschini H. Suburethral sling operations for urinary incontinence in women. Cochrane Database Syst Rev. 2001;(3):CD001754.
6. Ulmsten U, Henriksson L, Johnson P, Varhos G. An ambulatory surgical procedure under local anesthesia for treatment of female urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 1996;7(2):81-85.
7. Delorme E. La bandelette trans-obturatrice: un procédé mini-invasif pour traiter l'incontinence urinaire d'effort de la femme [Transobturator urethral suspension: mini-invasive procedure in the treatment of stress urinary incontinence in women]. Prog Urol. 2001;11(6):1306-1313.
8. Ripperda CM, Kowalski JT, Chaudhry ZQ, Mahal AS, Lanzer J, Noor N, Good MM, Hynan LS, Jeppson PC, Rahn DD. Predictors of early postoperative voiding dysfunction and other complications following a midurethral sling. Am J Obstet Gynecol. 2016;215(5):656.e1-656.e6.
9. Baden WF, Walker TA. Genesis of the vaginal profile: a correlated classification of vaginal relaxation. Clin Obstet Gynecol. 1972;15(4):1048-1054.
10. Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, et al. The standardisation of terminology in lower urinary tract function: report from the standardisation sub-committee of the International Continence Society. Urology. 2003;61(1):37-49.
11. Groutz A, Gordon D, Lessing JB, Wolman I, Jaffa A, David MP. Prevalence and characteristics of voiding difficulties in women: are subjective symptoms substantiated by objective urodynamic data? Urology. 1999;54(2):268-272.
12. Salin A, Conquy S, Elie C, Touboul C, Parra J, Zerbib M, Debré B, Amsellem-Ouazana D. Identification of risk factors for voiding dysfunction following TVT placement. Eur Urol. 2007;51(3):782-787.
13. Stanton SL, Ozsoy C, Hilton P. Voiding difficulties in the female: prevalence, clinical and urodynamic review. Obstet Gynecol. 1983;61(2):144-147.
14. Ahn C, Bae J, Lee KS, Lee HW. Analysis of voiding dysfunction after transobturator tape procedure for stress urinary incontinence. Korean J Urol. 2015;56(12):823-830.
15. Mutone N, Brizendine E, Hale D. Factors that influence voiding function after the tension-free vaginal tape procedure for stress urinary incontinence. Am J Obstet Gynecol. 2003;188(6):1477-1481.
16. Vervest HA, Bisseling TM, Heintz AP, Schraffordt Koops SE. The prevalence of voiding difficulty after TVT, its impact on quality of life, and related risk factors. Int Urogynecol J Pelvic Floor Dysfunct. 2007;18(2):173-182.
17. Carlile A, Davies I, Rigby A, Brocklehurst JC. Age changes in the human female urethra: a morphometric study. J Urol. 1988;139(3):532-535.
18. Brown JS, Grady D, Ouslander JG, Herzog AR, Varner RE, Posner SF. Prevalence of urinary incontinence and associated risk factors in postmenopausal women. Heart & Estrogen/Progestin Replacement Study (HERS) Research Group. Obstet Gynecol. 1999;94(1):66-70.
19. Hendrix SL, Cochrane BB, Nygaard IE, Handa VL, Barnabei VM, Iglesia C, et al. Effects of estrogen with and without progestin on urinary incontinence. JAMA. 2005;293(8):935-948.
20. Sokol AI, Jelovsek JE, Walters MD, Paraiso MF, Barber MD. Incidence and predictors of prolonged urinary retention after TVT with and without concurrent prolapse surgery. Am J Obstet Gynecol. 2005;192:1537–1543.
21. Barr SA, Thomas A, Potter S, Melick CF, Gavard JA, McLennan MT. Incidence of successful voiding and predictors of early voiding dysfunction after retropubic sling. Int Urogynecol J. 2016;27(8):1209-1214.
22. Dawson T, Lawton V, Adams E, Richmond D. Factors predictive of post-TVT voiding dysfunction. Int Urogynecol J Pelvic Floor Dysfunct. 2007;18(11):1297-1302.
23. Park S, Hong B, Lee KS, Choo MS. Risk factors of voiding dysfunction and patient satisfaction after tension-free vaginal tape procedure. J Korean Med Sci. 2005;20(6):1006-1010.
24. Glavind K, Shim S. Incidence and treatment of postoperative voiding dysfunction after the tension-free vaginal tape procedure. Int Urogynecol J. 2015;26(11):1657-1660.
25. Wang KH, Wang KH, Neimark M, Davila GW. Voiding dysfunction following TVT procedure. Int Urogynecol J Pelvic Floor Dysfunct. 2002;13(6):353-357.
26. Lucena HM, Rai H, Siozos C, Tincello DG, Basak S, Giarenis I. Early postoperative voiding dysfunction after insertion of retropubic midurethral tape. Int Urogynecol J. 2016;27(10):1529-1533.
27. Morey AF, Medendorp AR, Noller MW, Mora RV, Shandera KC, Foley JP, et al. Transobturator versus transabdominal mid urethral slings: a multi-institutional comparison of obstructive voiding complications. J Urol. 2006;175(3Pt1):1014-1017.
28. Tahseen S, Reid PC, Charan P. Short-term complications of the trans-obturator foramen procedure for urinary stress incontinence. J Obstet Gynaecol. 2007;27(5):500-502.
29. Jeffry L, Deval B, Birsan A, Soriano D, Daraï E. Objective and subjective cure rates after tension-free vaginal tape for treatment of urinary incontinence. Urology. 2001;58(5):702-706.
30. Molden S, Patterson D, Tarr M, Sanses T, Bracken J, Nguyen A, Harvie HS, White A, Hammil SA, Murphy M, Rogers RG. Risk factors leading to midurethral sling revision: a multicenter case-control study. Int Urogynecol J. 2010;21(10):1253-1259.

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Details

Primary Language	English
Subjects	Obstetrics and Gynaecology
Journal Section	Research Article
Authors	Uğur Kemal Öztürk 0000-0003-0720-2919 Esra Keles 0000-0001-8099-8883 Cihat Murat Alınca 0000-0003-2863-7954 Mahmut Kuntay Kokanalı 0000-0002-0760-446X Orhan Seyfi Aksakal 0000-0001-6964-3985
Early Pub Date	October 6, 2023
Publication Date	September 30, 2023
Submission Date	June 5, 2023
Acceptance Date	August 25, 2023
Published in Issue	Year 2023 Volume: 40 Issue: 3

Cite

APA	Öztürk, U. K., Keles, E., Alınca, C. M., Kokanalı, M. K., et al. (2023). Risk factors for voiding dysfunction following midurethral sling operations. Journal of Experimental and Clinical Medicine, 40(3), 556-561.
AMA	Öztürk UK, Keles E, Alınca CM, Kokanalı MK, Aksakal OS. Risk factors for voiding dysfunction following midurethral sling operations. J. Exp. Clin. Med. September 2023;40(3):556-561.
Chicago	Öztürk, Uğur Kemal, Esra Keles, Cihat Murat Alınca, Mahmut Kuntay Kokanalı, and Orhan Seyfi Aksakal. “Risk Factors for Voiding Dysfunction Following Midurethral Sling Operations”. Journal of Experimental and Clinical Medicine 40, no. 3 (September 2023): 556-61.
EndNote	Öztürk UK, Keles E, Alınca CM, Kokanalı MK, Aksakal OS (September 1, 2023) Risk factors for voiding dysfunction following midurethral sling operations. Journal of Experimental and Clinical Medicine 40 3 556–561.
IEEE	U. K. Öztürk, E. Keles, C. M. Alınca, M. K. Kokanalı, and O. S. Aksakal, “Risk factors for voiding dysfunction following midurethral sling operations”, J. Exp. Clin. Med., vol. 40, no. 3, pp. 556–561, 2023.
ISNAD	Öztürk, Uğur Kemal et al. “Risk Factors for Voiding Dysfunction Following Midurethral Sling Operations”. Journal of Experimental and Clinical Medicine 40/3 (September 2023), 556-561.
JAMA	Öztürk UK, Keles E, Alınca CM, Kokanalı MK, Aksakal OS. Risk factors for voiding dysfunction following midurethral sling operations. J. Exp. Clin. Med. 2023;40:556–561.
MLA	Öztürk, Uğur Kemal et al. “Risk Factors for Voiding Dysfunction Following Midurethral Sling Operations”. Journal of Experimental and Clinical Medicine, vol. 40, no. 3, 2023, pp. 556-61.
Vancouver	Öztürk UK, Keles E, Alınca CM, Kokanalı MK, Aksakal OS. Risk factors for voiding dysfunction following midurethral sling operations. J. Exp. Clin. Med. 2023;40(3):556-61.

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