Correlation of Morphological Alterations and Functional Impairment of the Tension-Free Vaginal Tape Obturator Procedure

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25 Citations (Scopus)

Abstract

Purpose: We explored the morphological features associated with functional impairment in patients undergoing the tension-free vaginal tape obturator procedure. Materials and Methods: We retrospectively reviewed the records of 98 women who underwent the tension-free vaginal tape obturator procedure alone or with concomitant pelvic surgery. Postoperative assessment included a symptom questionnaire, ultrasound cystourethrography and a cough stress test. During followup the measures of postoperative functional impairment included a positive cough stress test, new onset voiding dysfunction and the worsening or progression of urge symptoms. Results: Median followup was 22 months. During followup 11 women had a positive cough stress test, 22 had voiding dysfunction and 12 had worsening or new onset urge symptoms. Failure was associated with 4 variables on multiple logistic regression analysis, including absent urethral encroachment at rest (OR 16.63, 95% CI 1.87-147.85, p = 0.01), bladder neck funneling (OR 8.27, 95% CI 1.99-34.26, p

Original languageEnglish
Pages (from-to)211-218
Number of pages8
JournalJournal of Urology
Volume181
Issue number1
DOIs
Publication statusPublished - Jan 2009

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Suburethral Slings
Exercise Test
Cough
Urinary Bladder
Logistic Models
Regression Analysis

Keywords

  • stress
  • suburethral slings
  • ultrasonography
  • urethra
  • urinary incontinence
  • vagina

ASJC Scopus subject areas

  • Urology

Cite this

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title = "Correlation of Morphological Alterations and Functional Impairment of the Tension-Free Vaginal Tape Obturator Procedure",
abstract = "Purpose: We explored the morphological features associated with functional impairment in patients undergoing the tension-free vaginal tape obturator procedure. Materials and Methods: We retrospectively reviewed the records of 98 women who underwent the tension-free vaginal tape obturator procedure alone or with concomitant pelvic surgery. Postoperative assessment included a symptom questionnaire, ultrasound cystourethrography and a cough stress test. During followup the measures of postoperative functional impairment included a positive cough stress test, new onset voiding dysfunction and the worsening or progression of urge symptoms. Results: Median followup was 22 months. During followup 11 women had a positive cough stress test, 22 had voiding dysfunction and 12 had worsening or new onset urge symptoms. Failure was associated with 4 variables on multiple logistic regression analysis, including absent urethral encroachment at rest (OR 16.63, 95{\%} CI 1.87-147.85, p = 0.01), bladder neck funneling (OR 8.27, 95{\%} CI 1.99-34.26, p",
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N2 - Purpose: We explored the morphological features associated with functional impairment in patients undergoing the tension-free vaginal tape obturator procedure. Materials and Methods: We retrospectively reviewed the records of 98 women who underwent the tension-free vaginal tape obturator procedure alone or with concomitant pelvic surgery. Postoperative assessment included a symptom questionnaire, ultrasound cystourethrography and a cough stress test. During followup the measures of postoperative functional impairment included a positive cough stress test, new onset voiding dysfunction and the worsening or progression of urge symptoms. Results: Median followup was 22 months. During followup 11 women had a positive cough stress test, 22 had voiding dysfunction and 12 had worsening or new onset urge symptoms. Failure was associated with 4 variables on multiple logistic regression analysis, including absent urethral encroachment at rest (OR 16.63, 95% CI 1.87-147.85, p = 0.01), bladder neck funneling (OR 8.27, 95% CI 1.99-34.26, p

AB - Purpose: We explored the morphological features associated with functional impairment in patients undergoing the tension-free vaginal tape obturator procedure. Materials and Methods: We retrospectively reviewed the records of 98 women who underwent the tension-free vaginal tape obturator procedure alone or with concomitant pelvic surgery. Postoperative assessment included a symptom questionnaire, ultrasound cystourethrography and a cough stress test. During followup the measures of postoperative functional impairment included a positive cough stress test, new onset voiding dysfunction and the worsening or progression of urge symptoms. Results: Median followup was 22 months. During followup 11 women had a positive cough stress test, 22 had voiding dysfunction and 12 had worsening or new onset urge symptoms. Failure was associated with 4 variables on multiple logistic regression analysis, including absent urethral encroachment at rest (OR 16.63, 95% CI 1.87-147.85, p = 0.01), bladder neck funneling (OR 8.27, 95% CI 1.99-34.26, p

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KW - urinary incontinence

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