Persistent urinary retention after surgery for deep infiltrating endometriosis: a multi-center series of 16 cases

Azaïs, Henri; Rubod, Chrystèle; Ghoneim, T.; Vassilieff, Maud; Bailly, E.; Boileau, L.; Villet, R.; Collinet, Pierre

doi:10.1007/s00404-014-3588-7

Cited by 14 publications

(9 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…With this knowledge, we can allow timely postoperative management of urinary retention, which is crucial to reduce morbidity: the benefit of ISC in the prevention of urinary tract infections has been demonstrated in previous studies [17]. The connection between surgical resection of endometriotic nodules from the uterosacral ligaments and/or the parametrium and postoperative bladder function corresponds to the findings of previous studies, which show a correlation between de novo urinary symptoms and bilateral sacrouterine-ligament resection or rectovaginal dissection [5,11,12]. Furthermore, our statistical analysis shows an increased risk of elevated residual urine volume with bigger nodule size, with the highest HR (6.43) found in nodules with a diameter of >3 cm.…”

Section: Discussionsupporting

confidence: 64%

“…The high prevalence of DIE as well as its considerable impact on women's quality of life highlight the importance of the disease. Postoperative urinary complications, with an incidence of up to 30% [3], are not negligible [5,11,12], and little is known about which factors influence the severity of the postoperative complications. Postoperative voiding difficulties may result in residual urine and cause bladder overdistension as well as additional morbidity involving recurrent urinary tract infections and incontinence [13].…”

mentioning

confidence: 99%

See 1 more Smart Citation

Predictive Factors for Voiding Dysfunction after Surgery for Deep Infiltrating Endometriosis

Imboden

Bollinger

Härmä

et al. 2021

Journal of Minimally Invasive Gynecology

View full text Add to dashboard Cite

To evaluate the prognostic value of pre-and perioperative factors for voiding dysfunction after surgery for deep infiltrating endometriosis (DIE). Design: Single-center retrospective cohort study. Setting: University hospital. Patients: A total of 198 women with DIE in the posterior compartment who underwent surgery and a postoperative bladder scan. Interventions: Surgical resection of the DIE nodule from the dorsal compartment. Measurements and Main Results: After surgery, 41% of the patients initially experienced voiding dysfunction (defined as >100 mL postvoid residual urine volume at second bladder scan). The number decreased to 11% by the time of hospital discharge. Among those with a need for self-catheterization after discharge (n = 17), voiding dysfunction lasted for a median of 41 days before a return to normal bladder function, with a residual urine volume of <100 mL. The preoperative presence of DIE nodules in the ENZIAN compartment B was associated with postoperative voiding dysfunction (p = .001). The hazard ratio for elevated residual urine volume was highest when the disease stage was B3 (hazard ratio 6.43; CI, 2.3−18.2; p <.001), describing a nodule diameter of >3 cm in lateral distension. Receiver operating characteristic curve analyses showed that a first residual urine volume >220 mL has a good predictive value for the risk of intermittent selfcatheterization (area under the receiver operating characteristic curve 0.893; p <.001). Conclusion:Postoperative voiding dysfunction is frequent; of note, in most cases the problem is temporary. When DIE with an ENZIAN classification B is noted intraoperatively and, most of all, when the diameter of the lesion is >3 cm, a higher risk of postoperative voiding dysfunction is to be expected.

show abstract

Section: Discussionsupporting

confidence: 64%

mentioning

confidence: 99%

Predictive Factors for Voiding Dysfunction after Surgery for Deep Infiltrating Endometriosis

Imboden

Bollinger

Härmä

et al. 2021

Journal of Minimally Invasive Gynecology

View full text Add to dashboard Cite

show abstract

“…Indeed, laparoscopic surgical removal of endometriosis is a widely accepted first‐line treatment for endometriosis‐related pain . The touted benefits of this surgery, however, are offset by important urinary complications including urinary dysfunction and urinary retention, attributed to iatrogenic injury of pelvic autonomic nerves . In most cases, urinary dysfunction secondary to surgical manipulation resolves spontaneously after one to three weeks, but it can persist for months or years .…”

Section: Introductionmentioning

confidence: 99%

Risk of urinary retention after nerve‐sparing surgery for deep infiltrating endometriosis: A systematic review and meta‐analysis

Júnior

Cavalini

Crispi³

et al. 2015

Neurourology and Urodynamics

View full text Add to dashboard Cite

show abstract

“…Complications described are mostly urological: 3.5–14.3% persistent urinary retention [12, 13, 21], and one paper describes 12.5% bladder perforation (1/8 patients) [22]. Complication rates for fistula (vesicovaginal or rectovaginal) are not reported in the literature, although there is a reported 0.7% incidence on rectal lacerations during surgery that involved the posterior vaginal wall [23].…”

Section: Discussionmentioning

confidence: 99%

“…Postoperative bleeding can lead to pelvic floor or retroperitoneal hematomas. Other frequently encountered problems are transient bladder voiding difficulties requiring intermittent catheterization or indwelling urinary catheter for a longer period [13]. …”

mentioning

confidence: 99%

Robot-assisted laparoscopic colpectomy in female-to-male transgender patients; technique and outcomes of a prospective cohort study

et al. 2016

View full text Add to dashboard Cite

BackgroundGender-affirming surgeries in female-to-male (FtM) transgender patients include mostly hysterectomy, bilateral salpingo-oophorectomy and mastectomy. Sometimes further surgery is performed, such as phalloplasty. Colpectomy may be performed to overcome gender dysphoria and disturbing vaginal discharge; furthermore, it may be important in reducing the risk of fistulas due to the phalloplasty procedure with urethral elongation. Colpectomy prior to the reconstruction of the neourethra seems to reduce fistula rates on the very first anastomosis. Therefore, at our center, colpectomy has become a standard procedure prior to phalloplasty and metoidioplasty with urethral elongation. Colpectomy is known as a procedure with potentially serious complications, e.g., extensive bloodloss, vesicovaginal fistula or rectovaginal fistula. Colpectomy performed via the vaginal route can be a challenging procedure due to lack of exposure of the surgical field, as many patients are virginal. Therefore, we investigated whether robot-assisted laparoscopic hysterectomy with bilateral salpingo-oophorectomy (TLH–BSO) followed by robot-assisted laparoscopic colpectomy (RaLC) is an alternative for the vaginal approach.MethodsRobot TLH/BSO and RaLC as a single-step procedure was performed in 36 FtM patients in a prospective cohort study.ResultsMedian length of the procedure was 230 min (197–278), which reduced in the second half of the patients, median blood loss was 75 mL (30–200), and median discharge was 3 days (2–3) postoperatively. One patient with a major complication (postoperative bleeding with readmission and transfusion) was reported.ConclusionTo our knowledge, this is the first report of RaLC. Our results show that RaLC combined with robot TLH–BSO is feasible as a single-step surgical procedure in FtM transgender surgery. Future studies are needed to compare this technique to the two-step surgical approach and on its outcome and complication rates of subsequent phalloplasty.Electronic supplementary materialThe online version of this article (doi:10.1007/s00464-016-5333-8) contains supplementary material, which is available to authorized users.

show abstract

Persistent urinary retention after surgery for deep infiltrating endometriosis: a multi-center series of 16 cases

Cited by 14 publications

References 25 publications

Predictive Factors for Voiding Dysfunction after Surgery for Deep Infiltrating Endometriosis

Predictive Factors for Voiding Dysfunction after Surgery for Deep Infiltrating Endometriosis

Risk of urinary retention after nerve‐sparing surgery for deep infiltrating endometriosis: A systematic review and meta‐analysis

Robot-assisted laparoscopic colpectomy in female-to-male transgender patients; technique and outcomes of a prospective cohort study

Contact Info

Product

Resources

About