Factors predictive of voiding problems following insertion of tension-free vaginal tape

Int J Gynaecol Obstet. 2007 Feb;96(2):122-6. doi: 10.1016/j.ijgo.2006.10.013. Epub 2007 Jan 18.


Objective: To identify predictive factors of urinary retention following a tension-free vaginal tape (TVT) procedure, so that patients may be better advised of their risk of undergoing catheterization and tape release.

Method: A retrospective review of women who underwent a TVT procedure over five years. Patient age, pressure flow rate, concomitant vaginal surgery, and the form of anesthesia used for the surgery were analyzed. The Mann-Whitney U Test and logistic regression were used to explore the effect of these factors.

Results: Because of the small sample size, none of these factors were shown to be significantly predictive of postoperative voiding difficulty. However, there could be a correlation between postoperative voiding difficulty and concomitant posterior vaginal repair as well as lower preoperative flow rate.

Conclusion: No significant predictive factors were found, but there was a trend toward long-term voiding difficulty for women who underwent posterior vaginal repair and women with low preoperative flow rates.

MeSH terms

  • Adult
  • Aged
  • Female
  • Humans
  • Middle Aged
  • Retrospective Studies
  • Suburethral Slings*
  • Urinary Incontinence / surgery*
  • Urodynamics*