Postoperative void trial failure and same-day discharge following apical pelvic organ prolapse surgery: a retrospective matched case–control study

Ross, James H.; Wallace, Shannon L.; Ferrando, Cecile A.

doi:10.1007/s00192-022-05332-0

Cited by 1 publication

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“…Prolonged urinary retention can lead to the increase of bladder pressure, the excessive expansion of bladder and ultimately result in the dysfunction of bladder detrusor and irreversible impairment of urination function [12] , the reinserting of catheter prolongs the time of hospitalization and may affect their satisfaction, and imposes additional nancial burdens on patients and their families [13] . Early identi cation and treatment of POUR can prevent further morbidity.…”

Section: Introductionmentioning

confidence: 99%

Predictors of postoperative urinary retention after severe pelvic organ prolapse

Zhang

Xia

2023

Preprint

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Objective: To investigate the rate of postoperative urinary retention (POUR) and to identify factors associated with POUR of severe pelvic organ prolapse (POP). Methods: A retrospective chart review was conducted for 194 patients who were diagnosed with severe POP. Among them, 152 patients underwent total pelvic floor reconstruction and 42 patients underwent traditional vaginal hysterectomy and vaginal wall repair. POUR was defined as a need for the post-void residual urine volume was＞150mL who should be catheterization subsequent to the removal of the indwelling urethral catheter. Results: POUR was reported in 51 women (26.3%). The incidence of POUR was 28.3% of patients who underwent the total pelvic floor reconstruction. And was 19.0% after traditional vaginal hysterectomy and vaginal wall repair. Crude analysis revealed a significant association between the following variables and the risk of POUR: Aa, Ba, C by POP-Q exam, POP-Q staging, diabetes mellitus, Preoperative post-void residual volume (PVR) , bladder neck mobility, preoperative incontinence (P < 0.05) . POP-Q Staging (odds ratio, 4.79; 95% confidence interval, 1.025-22.383; P=0.046), PVR (odds ratio,1.054; 95% confidence interval, 1.03-1.079; P＜0.01), bladder neck mobility (odds ratio, 1.078; 95% confidence interval,1.021-1.138; P = 0.007) and complaint of incontinence (odds ratio, 2.686; 95% confidence interval,1.101-6.553; P = 0.03) were identified as the significant predictor of POUR In the logistic regression analysis. Conclusion: POP-Q staging, Preoperative post-void residual volume (PVR), bladder neck mobility and complaint of incontinence were significant predictors for POUR after severe pelvic organ prolapse surgery.

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Section: Introductionmentioning

confidence: 99%