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Tension-free vaginal tape: poor intraoperative cough test as a predictor of postoperative urinary retention.
Int Urogynecol J Pelvic Floor Dysfunct. 2007 Dec; 18(12):1445-7.IU

Abstract

The purpose of this study was to determine if the quality of the intraoperative cough test could help to predict which patient would fail the post void residual test (PVR) immediately after a tension-free vaginal tape (TVT) procedure. Patients undergoing a TVT procedure only, under spinal or local anesthesia were enrolled. Patients were divided into two groups based on the outcome of the first postoperative PVR, failure group (FG) vs successful group (SG). Before adjusting the tape, patients underwent a standardized cough test. The quality of the cough test was determined to be either good or poor based on whether every cough produced a spurt of urine or not. Variables analyzed between the FG and SG were demographic and urodynamic data. Multivariate logistic regression analysis was used to calculate the adjusted odds ratios. Twenty-six (60.5%) women passed and 17 (39.5%) failed the initial postoperative PVR evaluation. There was a 4.89-fold greater odds of failing the postoperative PVR for women 65 and older compared to younger women (OR 4.89, 95% CI [1.07-26.45]). In addition, there was an 8.63-fold greater odds of failing postoperative PVR for patients with poor quality cough test (OR 8.63, 95% CI [1.54-54.66]). However, multivariate logistic regression analysis revealed that poor quality cough test was the only significant predictor for failing a postoperative PVR (OR 6.83, 95% CI [1.39-33.49], P = 0.018). A poor quality intraoperative cough test at the time of TVT procedure is a predictor of immediate postoperative urinary retention.

Authors+Show Affiliations

Department of Obstetrics and Gynecology (D-50), Jackson Memorial Hospital, University of Miami, Miller School of Medicine, P.O. Box 016960, Miami, FL 33010, USA. ptakacs@med.miami.eduNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article

Language

eng

PubMed ID

17396207

Citation

Takacs, Peter, and Carlos A. Medina. "Tension-free Vaginal Tape: Poor Intraoperative Cough Test as a Predictor of Postoperative Urinary Retention." International Urogynecology Journal and Pelvic Floor Dysfunction, vol. 18, no. 12, 2007, pp. 1445-7.
Takacs P, Medina CA. Tension-free vaginal tape: poor intraoperative cough test as a predictor of postoperative urinary retention. Int Urogynecol J Pelvic Floor Dysfunct. 2007;18(12):1445-7.
Takacs, P., & Medina, C. A. (2007). Tension-free vaginal tape: poor intraoperative cough test as a predictor of postoperative urinary retention. International Urogynecology Journal and Pelvic Floor Dysfunction, 18(12), 1445-7.
Takacs P, Medina CA. Tension-free Vaginal Tape: Poor Intraoperative Cough Test as a Predictor of Postoperative Urinary Retention. Int Urogynecol J Pelvic Floor Dysfunct. 2007;18(12):1445-7. PubMed PMID: 17396207.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Tension-free vaginal tape: poor intraoperative cough test as a predictor of postoperative urinary retention. AU - Takacs,Peter, AU - Medina,Carlos A, Y1 - 2007/03/30/ PY - 2006/11/20/received PY - 2007/03/15/accepted PY - 2007/3/31/pubmed PY - 2008/2/7/medline PY - 2007/3/31/entrez SP - 1445 EP - 7 JF - International urogynecology journal and pelvic floor dysfunction JO - Int Urogynecol J Pelvic Floor Dysfunct VL - 18 IS - 12 N2 - The purpose of this study was to determine if the quality of the intraoperative cough test could help to predict which patient would fail the post void residual test (PVR) immediately after a tension-free vaginal tape (TVT) procedure. Patients undergoing a TVT procedure only, under spinal or local anesthesia were enrolled. Patients were divided into two groups based on the outcome of the first postoperative PVR, failure group (FG) vs successful group (SG). Before adjusting the tape, patients underwent a standardized cough test. The quality of the cough test was determined to be either good or poor based on whether every cough produced a spurt of urine or not. Variables analyzed between the FG and SG were demographic and urodynamic data. Multivariate logistic regression analysis was used to calculate the adjusted odds ratios. Twenty-six (60.5%) women passed and 17 (39.5%) failed the initial postoperative PVR evaluation. There was a 4.89-fold greater odds of failing the postoperative PVR for women 65 and older compared to younger women (OR 4.89, 95% CI [1.07-26.45]). In addition, there was an 8.63-fold greater odds of failing postoperative PVR for patients with poor quality cough test (OR 8.63, 95% CI [1.54-54.66]). However, multivariate logistic regression analysis revealed that poor quality cough test was the only significant predictor for failing a postoperative PVR (OR 6.83, 95% CI [1.39-33.49], P = 0.018). A poor quality intraoperative cough test at the time of TVT procedure is a predictor of immediate postoperative urinary retention. UR - https://www.unboundmedicine.com/medline/citation/17396207/Tension_free_vaginal_tape:_poor_intraoperative_cough_test_as_a_predictor_of_postoperative_urinary_retention_ L2 - https://medlineplus.gov/aftersurgery.html DB - PRIME DP - Unbound Medicine ER -