[Predictive factors of immediate post-operative acute urinary retention or voiding dysfunction following mid-urethral sling surgery: A literature review]. / Facteurs prédictifs de rétention aiguë d'urine ou de dysurie en postopératoire immédiat après pose de bandelette sous urétrale : revue de la littérature.

ABSTRACT

OBJECTIVE: 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. METHODS: 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. RESULTS: 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). CONCLUSION: 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.