Am J Obstet Gynecol. 2006 Dec;195(6):1857-61.

Outcome of tension-free vaginal tape procedure when complicated by intraoperative cystotomy.

Authors:

LaSala CA ,Schimpf MO,Udoh E,O'Sullivan DM,Tulikangas P.

Division of Urogynecology, Hartford Hospital, Hartford, CT 06106, USA.clasala@harthosp.org

Objectives:

The objective of this study was to determine risk factors for intra-operative cystotomy during TVT and whether this affects surgical outcome and morbidity.

Study Design:

Charts of 340 women who underwent TVT were reviewed. Those who had a cystotomy during the procedure (cases) were compared with those without (controls) for the variables: age, race, parity, body mass index (BMI), TVT with or without other procedures, previous pelvic surgery, blood loss, length of catheter drainage, UTI, and voiding dysfunction. The t-test and chi-squared test were used and differences resulting in P< .05 were statistically significant.

Results:

Cystotomy occurred in 49/340 TVT procedures (14.4%). Only those who had a history of abdominal hysterectomy and BMI greater than 26.5 were more likely to have a cystotomy (P = .05 and P = .001, respectively). Cases were more likely to go home with catheter drainage (P = .005). There was no increased risk of UTI or voiding dysfunction, nor was there a difference in surgical cure rate.

Conclusion:

Cystotomy does not seem to negatively affect the outcome of the TVT procedure.



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