[Predictive factors of immediate post-operative acute urinary retention or voiding dysfunction following mid-urethral sling surgery: A literature review].

Immediate postoperative urinary retention (UR) and voiding dysfunction (VD) are some factors limiting outpatient procedure for mid-urethral sling (MUS) surgery in women presenting with stress urinary incontinence. The objective of the current review was to report the main predictive factors associated with immediate postoperative UR/VD following MUS surgery in women.

A systematic review was performed using Medline database, according to PRISMA methodology, using following keywords midurethral sling; tension-free vaginal tape; TVT; transobturator tape; TOT; predicting factor; voiding dysfunction; urinary retention; postvoid residual; postoperative residue of urine.

Thirteen studies were included. Main clinical predictive factors associated with immediate postoperative urinary retention (UR) and voiding dysfunction (VD) were: previous pelvic surgery (hysterectomy, incontinence or pelvic organ prolapse surgery) [OR: from 3.7 ((CI95%: 1.14-12.33); P=0.029)] to 8.93 [(CI95%:1.17-61.1); P=0.035)], previous UR [OR: 415 (CI95%: 20-8619); P<0.001], age over 65 y/o [OR: 3,72 (CI95%:1.40-9.9); P<0.01], and general anesthesia [OR: 4.5 (CI95%:1.1-18.9); P=0.02]. Urodynamic predictive factors were underactive bladder at cystometry [OR: from 2.52 ([CI95%: 1.03-6.13]; P=0.042) to 5.6 ([IC95%: 1.6-19.2]; P=0.02] and preoperative maximum flow rate (Qmax) (the prevalence of UR was ranging from 12 to 35% when Qmax was under 15ml/s, versus 0% when Qmax was over 30ml/s).

Predictive factors associated with immediate postoperative UR/VD following MUS surgery in women were age over 65 y/o, previous pelvic surgery or previous UR, underactive bladder and preoperative Qmax under 15ml/s.

Progres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie. 2020 May 31 [Epub ahead of print]

Y Salhi, S Vieillefosse, M Vandekerckhove, M Vinchant, X Deffieux

Université Paris-Saclay, faculté de médecine, 94270 Le Kremlin Bicêtre, France; Assistance publique Hôpitaux de Paris (AP-HP), GHU Sud, hôpital Antoine-Béclère, service de gynécologie-obstétrique, 157, rue de la porte de Trivaux, 92140 Clamart, France., Université Paris-Saclay, faculté de médecine, 94270 Le Kremlin Bicêtre, France; Assistance publique Hôpitaux de Paris (AP-HP), GHU Sud, hôpital Antoine-Béclère, service de gynécologie-obstétrique, 157, rue de la porte de Trivaux, 92140 Clamart, France. Electronic address: .