Health & body · 2011
Can a preoperative bladder-pressure test help predict who will still have leakage after surgery?
In this retrospective study of 141 patients undergoing the tension-free vaginal tape obturator (TVT-O) procedure, a preoperative below 60 cm H2O was associated with higher odds of reported leakage one year after surgery (odds ratio, 5.14; P=0.035). The overall surgical success rate was 92.9%.
Details
The study evaluated clinical factors associated with failure after the tension-free vaginal tape obturator (TVT-O) procedure for stress urinary incontinence (SUI).
This retrospective study included 141 patients who underwent surgery for urodynamic stress incontinence between January 2004 and December 2008 and had at least one year of postoperative follow-up. Researchers reviewed medical records for clinical characteristics and surgical outcomes. Failure was defined as a subjective complaint of urine leakage one year after surgery.
The TVT-O success rate was 92.9%. The success and failure groups were similar in demographic and clinical characteristics. In the preoperative urodynamic study, the only factor associated with failure was an abdominal leak point pressure (ALPP) below 60 cm H2O (odds ratio, 5.14; P=0.035).
The authors concluded that an ALPP below 60 cm H2O was independently predictive of failure in patients with SUI undergoing the TVT-O procedure.
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