{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T23:26:58Z","timestamp":1792366018701,"version":"4.4.0"},"reference-count":17,"publisher":"S. Karger AG","issue":"11-12","license":[{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2021,1,1]],"date-time":"2021-01-01T00:00:00Z","timestamp":1609459200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Urol Int"],"published-print":{"date-parts":[[2021]]},"abstract":"<b><i>Background:<\/i><\/b> Voiding dysfunction (VD) is a potential complication after female midurethral sling operations. <b><i>Objectives:<\/i><\/b> Our goal was to assess the rate of obstructive VD after \u00adtransobturator tension-free tape (TOT) procedures and to find perioperative risk factors (RFs) predicting postoperative voiding problems. <b><i>Methods:<\/i><\/b> We have retrospectively evaluated the perioperative data of 397 women who underwent TOT operations. Significant post-void residual (PVR) (&#x3e;50 mL) was considered as the primary (objective) end point of the study, the voiding difficulty as the secondary (subjective) 1. First univariate analysis and then multivariate logistic regression were performed, with a 5% significance level. <b><i>Results:<\/i><\/b> Significant PVR was present in 51 (12.8%) women; catheterization was needed in 21 (5.3%) and reoperation in 3 (0.8%) cases. Seventy women (17.6%) experienced postoperative voiding difficulty. Narrow vagina (&#x3c;2 cm), older age &#x3e;70 years, and preoperative voiding difficulty were independent RFs for significant PVR (odds ratio: 5.07, 2.14, 5.38, respectively, <i>p<\/i> &#x3c; 0.05). Preoperative overactive bladder syndrome and previous pelvic organ prolapse surgery were considered independent RFs for postoperative voiding difficulty. <b><i>Conclusions:<\/i><\/b> Older age, narrow vagina, or preoperative voiding difficulty increases the chance for significant postoperative PVR. These patients should be chosen and counseled appropriately. <\/jats:p>","DOI":"10.1159\/000517544","type":"journal-article","created":{"date-parts":[[2021,8,26]],"date-time":"2021-08-26T21:00:54Z","timestamp":1630011654000},"page":"1092-1098","source":"Crossref","is-referenced-by-count":2,"title":["Narrow Vagina as a Predictor of Obstructive Voiding Dysfunction after Transobturator Sling Surgery"],"prefix":"10.1159","volume":"105","author":[{"given":"Mikl\u00f3s","family":"Romics","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Veronika","family":"Keszthelyi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valentin","family":"Brodszky","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P\u00e9ter J\u00f3zsef","family":"Moln\u00e1r","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Attila","family":"Keszthelyi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Orsolya","family":"Ol\u00e1h","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P\u00e9ter","family":"Nyir\u00e1dy","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Attila","family":"Majoros","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2021,8,26]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2004.10.623"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(05)00412-X"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.5213\/inj.2012.16.1.30"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2007.10.073"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2004.04910.x"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-006-0127-5"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/s1701-2163(16)31001-5"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-015-1524-5"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-010-1229-7"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1159\/000488465"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20862"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2012.12.013"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2016.06.010"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1159\/000323672"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1002\/1520-6777(2001)20:1%3c13::aid-nau3%3e3.0.co;2-r"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1016\/0029-7844(95)00347-9"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1159\/000488204"}],"container-title":["Urologia Internationalis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/517544","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/517544","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T15:06:29Z","timestamp":1745420789000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000517544"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021]]},"references-count":17,"journal-issue":{"issue":"11-12","published-online":{"date-parts":[[2021,10,29]]},"published-print":{"date-parts":[[2021,10,26]]}},"URL":"https:\/\/doi.org\/10.1159\/000517544","archive":["Portico"],"relation":{},"ISSN":["0042-1138","1423-0399"],"issn-type":[{"value":"0042-1138","type":"print"},{"value":"1423-0399","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021]]}}}