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首页> 外文期刊>The journal of obstetrics and gynaecology research >Investigation of predictive factors for the presence of voiding dysfunction after transvaginal mesh surgery—Can the flow curve shape on uroflowmetry be a predictor?
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Investigation of predictive factors for the presence of voiding dysfunction after transvaginal mesh surgery—Can the flow curve shape on uroflowmetry be a predictor?

机译：Investigation of predictive factors for the presence of voiding dysfunction after transvaginal mesh surgery—Can the flow curve shape on uroflowmetry be a predictor?

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Abstract Purpose This study established the prognostic significance of the uroflowmetry flow curve shape in the presence of voiding dysfunction following transvaginal mesh surgery. Methods This is a retrospective study of 439 symptomatic cystocele patients who underwent anterior wall repair with transvaginal mesh surgery. Uroflowmetry and postvoid residual were used to evaluate voiding function both preoperatively and 12?months postoperatively. The patients were divided into two groups: those with and without postoperative voiding dysfunction, and the predictors of postoperative voiding dysfunction were analyzed. The shape of the urine flow curve was analyzed for its influence on the presence of postoperative voiding dysfunction. Results Thirty‐five participants were in the voiding dysfunction group, while 404 were in the nonvoiding dysfunction group. Multivariate analysis was conducted by adding an interrupted‐shaped curve to age, Qmax, and postvoid residual, which showed significant differences in univariate analysis, found that age 68?years or older (odds ratio [OR]: 7.68, 95%CI 1.02–58, p?=?0.048), postvoid residual ≥110?mL (OR: 2.8, 95%CI 1.25–6.29, p?=?0.013) and interrupted‐shaped curve (OR: 2.47, 95%CI 1.07–5.69, p?=?0.034) were discovered to be independent risk factors for the presence of voiding dysfunction after transvaginal mesh surgery. Conclusions Following transvaginal mesh surgery for cystocele, three variables were found to be predictive of voiding dysfunction: the old age, excessive postvoid residual, and an interrupted‐shaped flow curve. The uroflowmetry flow curve shape has the potential to be a new predictor of postoperative voiding dysfunction.

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