Does applying postoperative suprapubic catheterisation in urogynecology benefit patients?

Gild, Andreas; Schoenfisch, Birgitt; Huebner, Markus; Brucker, Sara; Wallwiener, D.; Reisenauer, Christl

doi:10.1007/s00404-015-3928-2

Cited by 2 publications

(2 citation statements)

References 10 publications

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“…Incidence of urinary retention following any type of vaginal prolapse surgery varies between 6% and 29% in literature [5][6][7]. Tissue swelling, inflammation, as well as damage to peripheral nerve endings during pelvic floor surgery might be responsible for transient postoperative voiding dysfunction (PVD) with increased post-void residual (PVR) volume [8].…”

Section: Introductionmentioning

confidence: 99%

Uterus Preservation in Case of Vaginal Prolapse Surgery Acts as a Protector against Postoperative Urinary Retention

Bekos

Morgenbesser

Koelbl

et al. 2020

JCM

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Background: The aim of this study was to identify clinical risk factors for increased post-void residual (PVR) volumes in patients undergoing vaginal prolapse surgery and to find out whether uterus preservation or prolapse hysterectomy influences the incidence of postoperative urinary retention. Methods: This retrospective study included women who presented with pelvic organ prolapse (POP) and planned prolapse surgery between January 2017 and July 2019. PVR was assessed postoperatively and increased amounts were defined as incomplete voiding with residual urine volume greater than 150 mL. Results: Increased PVR at the first postoperative day occurred in 31.8% (56/176). Body mass index (BMI) was significantly lower in patients with increased PVR after pelvic floor surgery compared to patients with normal PVR amounts (p = 0.040). Furthermore, during multiple logistic regression analysis, low BMI (p = 0.009) as well as prolapse hysterectomy (p = 0.032) turned out to be the strongest risk factors associated with increased PVR volume. Conclusion: This is the first study identifying prolapse hysterectomy as an independent risk factor for increased PVR after surgical prolapse repair. Our results might be helpful in counseling patients prior to surgery and underline the option of uterus preservation during prolapse surgery in selected cases.

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Section: Introductionmentioning

confidence: 99%

Uterus Preservation in Case of Vaginal Prolapse Surgery Acts as a Protector against Postoperative Urinary Retention

Bekos

Morgenbesser

Koelbl

et al. 2020

JCM

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“…Altman et al reported about transient bladder emptying difficulties during the hospital stay in 8% of patients after mesh repair [25]. A current German trial revealed that patients cystocele repair using mesh are at increased risk of developing postoperative voiding dysfunction, so that postoperative suprapubic bladder drainage is beneficial [26]. Due to this management only 2 patients needed the catheter over the time of hospital stay in our series.…”

Section: Discussionmentioning

confidence: 60%

Transvaginal PVDF-mesh for cystocele repair: A cohort study

Barski

Arndt

Gerullis

et al. 2017

International Journal of Surgery

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h i g h l i g h t sPVDF-mesh is feasible for transvaginal application for cystocele repair. 15% of patients presented any kind of complications and 8.8% needed a resurgery for SUI or POP during the follow-up. Improvement of quality of life was reported by 87.5% according the PGI-I. The preliminary results support the initiation of prospective trial and registry according to IDEAL. a r t i c l e i n f o Results: 34 women were eligible for a mean follow up of 19 months. The functional outcome improved significantly. One symptomatic vault prolapse (2.9%) and two reoperations for incontinence (5.9%) occurred. Two mesh exposures (5.9%) occurred and were treated conservatively. No other severe complications were registered. 87.5% of treated women felt very much better or much better and would undergo the surgery again. A cohort study including development steps in accordance with the IDEAL system is presented. Conclusions: For the first time we report on effectivity and safety of transvaginal application of PVDFmesh in real-life practice. A prospective long-term evaluation in a registry is justified.

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Does applying postoperative suprapubic catheterisation in urogynecology benefit patients?

Abstract: Patients should be counselled about the risk of developing PVD after POP and/or SUI surgery and should be informed about postoperative bladder drainage options related to their surgery.

Cited by 2 publications

References 10 publications

Uterus Preservation in Case of Vaginal Prolapse Surgery Acts as a Protector against Postoperative Urinary Retention

Uterus Preservation in Case of Vaginal Prolapse Surgery Acts as a Protector against Postoperative Urinary Retention

Transvaginal PVDF-mesh for cystocele repair: A cohort study

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