Evaluation of the effectiveness of cough test during tension-free vaginal tape procedure in preventing post-operative voiding dysfunction / 中华泌尿外科杂志

Objective To evaluate the value of cough test in the tension-free vaginal tape (TVT)procedure.Methods A cohort of 85 women with stress urinary incontinence underwent the TVT procedure with cough test (n =41) or without cough test (n =44).Patients in cough test group were performed according to the Ulmsten’s method strictly,with the stress of tape adjusted in light of cough test; whereas in other 44 operations,the tape was placed on the urethral tract without stress,and no cough test was performed.The urine catheter was removed after 48 hours postoperatively and follow-up evaluation was carried out at 12 month postoperatively.Results TVT procedure was carried out successfully in all patients by a single experienced surgeon.Four cases of urinary retention and 5 cases of voiding difficulty were observed in the cough test group.However,urinary retention or voiding difficulty was not detected in the nun-cough test group.Based on the twelve-month follow-up results,the cure rate was 92.6％ (38/41) in the cough test group and 93.1％ (41/44) in the non-cough test group.Flow-pressure study indicated that 11 cases in cough test group were in the obstruction zone,while only 3 cases in the obstruction zone were detected in the non-cough test group.Conclusions TVT is a safe as well as effective minimally invasive surgical procedure to treat female stress urinary incontinence.However,Adjusting stress of tape in accordance with cough test during the TVT may potentially increase the incidence of urinary dysfunction postoperatively.Therefore,no convincing evidence was gained to support the efficacy of cough test during TVT in terms of preventing postoperative voiding dysfunction.

The value of cough test during the tension-free vaginal tape procedure / 重庆医科大学学报

Objective: To discuss the practical value of cough test during the tension-free vaginal tape(TVT) procedure.Methods: 27 operations were performed according to the Ulmsten's method strictly,only that the stress of tape was adjusted in the light of cough test.The tape without stress was put down the urethral tract in other 18 operations,not adjusted by cough test.Results: 2 cases of urinary retention and 2 cases of difficulty of urination were found in the group of 27 cases,while difficulty of urination did not appear in other 18 cases.Conclusion: Adjusting stress of tape in accordance with cough test during the TVT can increase the opportunity of urinary retention or difficulty of urination after operation.