PURPOSE: We performed this study to evaluate factors related to urinary retention after a tension-free vaginal tape (TVT) procedure for female stress urinary @entity322 . MATERIALS AND METHODS: We retrospectively analyzed the records of 375 @entity1 with a followup of at least 6 months from among @entity1 who underwent the TVT procedure between March 1999 and May 2002 at our institution. We analyzed multiple parameters, including @entity1 characteristics, symptoms and urodynamic studies, using univariate and multivariate regression analyses with respect to postoperative urinary retention, as defined by the need for intermittent catheterization for at least 3 days after the procedure. All @entity1 in the nonretention (343) and retention (32) groups answered a global satisfaction question. RESULTS: In answer to a global satisfaction question 338 of the 375 @entity1 (90.1%) favored the procedure. Univariate analysis demonstrated that @entity1 mean age, parity, peak urinary flow and a history of hysterectomy predicted urinary retention. However, on multivariate analyses the peak urinary flow rate was the only significant independent predictive factor (p = 0.007). While 28 @entity1 (87.5%) in the retention group regained normal voiding without a specific procedure, 4 required tape release or cutting within 3 month of surgery. The global satisfaction question showed a significant difference between the nonretention and retention groups (91.5% vs 75% satisfaction, p = 0.03). CONCLUSIONS: An accurate measurement of the peak urinary flow rate could predict @entity1 at risk for postoperative urinary retention that compromises global satisfaction after the highly curative TVT procedure.

Factors predictive of urinary retention after a tension-free vaginal tape procedure for female stress urinary XXXX .

@entity1 :: ('9606', 'Species') :: ['patients', 'women', 'patient'] @entity322 :: ('MESH:D014549', 'Disease') :: ['incontinence']
@entity322 :: (MESH:D014549,Disease) :: ['incontinence']
