The prevalence of voiding difficulty after TVT,its impact on quality of life,and related risk factors |
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Authors: | Harry A M Vervest Tanya M Bisseling A Peter M Heintz Steven E Schraffordt Koops |
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Institution: | (1) Department of Gynecology and Obstetrics, St. Elisabeth Hospital, P.O. Box 90151, 5000 Tilburg, LC, The Netherlands;(2) Department of Perinatology and Gynecology, University Medical Center Utrecht, Utrecht, The Netherlands;(3) Department of Gynecology and Obstetrics, Meander Medical Centre, Amersfoort, The Netherlands |
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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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Keywords: | Stress urinary incontinence Tension-free vaginal tape (TVT) Voiding difficulty urinary retention Urogenital Distress Inventory (UDI-6) Incontinence Impact Questionnaire (IIQ-7) |
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