INTRODUCTION AND HYPOTHESIS: This study is a retrospective modelling of early intervention for voiding difficulties (VD) after retropubic tape insertion. METHODS: Chart review assessing Trial Without Catheter (TWOC) on day 2 and day 9 and long-term VD. Number needed to treat (NNT) analysis performed for presumed intervention on days 2 and 9. RESULTS: Thirty seven (22%) of 171 patients failed TWOC on day 2, 20 (12%) on day 9. Ten (6%) had VD at 6 months. Five elected to have the tape cut. One had recurrence of SUI. NNT was 7.4:1 on day 2 and 4:1 on day 9 to avoid per tapes being cut at 6 months. Early intervention would potentially lead to six and three additional failures, respectively, assuming 80% continence. This represents over 100 per annum in the United Kingdom. CONCLUSIONS: The majority of VD after retropubic tape insertion will resolve. Early intervention may lead to additional failures.
INTRODUCTION AND HYPOTHESIS: This study is a retrospective modelling of early intervention for voiding difficulties (VD) after retropubic tape insertion. METHODS: Chart review assessing Trial Without Catheter (TWOC) on day 2 and day 9 and long-term VD. Number needed to treat (NNT) analysis performed for presumed intervention on days 2 and 9. RESULTS: Thirty seven (22%) of 171 patients failed TWOC on day 2, 20 (12%) on day 9. Ten (6%) had VD at 6 months. Five elected to have the tape cut. One had recurrence of SUI. NNT was 7.4:1 on day 2 and 4:1 on day 9 to avoid per tapes being cut at 6 months. Early intervention would potentially lead to six and three additional failures, respectively, assuming 80% continence. This represents over 100 per annum in the United Kingdom. CONCLUSIONS: The majority of VD after retropubic tape insertion will resolve. Early intervention may lead to additional failures.
Authors: Harry A M Vervest; Tanya M Bisseling; A Peter M Heintz; Steven E Schraffordt Koops Journal: Int Urogynecol J Pelvic Floor Dysfunct Date: 2006-04-22
Authors: Andrew I Sokol; John E Jelovsek; Mark D Walters; Marie Fidela R Paraiso; Matthew D Barber Journal: Am J Obstet Gynecol Date: 2005-05 Impact factor: 8.661