Predictors of Acute Postoperative Urinary Retention after Transvaginal Uterosacral Suspension Surgery
Journal of Menopausal Medicine
;
: 163-168, 2018.
Article
in English
| WPRIM
| ID: wpr-765751
ABSTRACT
OBJECTIVES:
To investigate the rate of postoperative urinary retention (POUR) and identify the risk factors for this complication in women who underwent transvaginal uterosacral suspension surgery.METHODS:
A retrospective chart review was conducted for 75 women who underwent transvaginal uterosacral suspension surgery with vaginal hysterectomy, repair of cystocele, and levator myorrhaphy with/without transobturator anti-incontinence surgery. POUR was defined as a need for continuous intermittent catheterization on the third day subsequent to removal of the urethral indwelling catheter.RESULTS:
Acute POUR was reported in 18 women (24.0%). Thirty-six of the 75 patients (48.0%) had undergone anti-incontinence surgery. Crude analysis revealed significant association between the following variables and the risk of POUR hypertension, the lower average flow rate in the pressure-flow study (PFS), greater post-void residual (PVR) urine volume in PFS, and PVR >30% of the total bladder capacity (TBC) in PFS. In the logistic regression analysis, PVR >30% of the TBC in PFS was identified as the only significant predictor of POUR (odds ratio, 15.4; 95% confidence interval, 2.5–90.9; P = 0.003).CONCLUSIONS:
The PVR >30% of the TBC in PFS was identified as the only predictive factor of acute POUR in women who underwent transvaginal uterosacral suspension surgery.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Postoperative Complications
/
Urination Disorders
/
Urinary Bladder
/
Catheterization
/
Catheters, Indwelling
/
Logistic Models
/
Retrospective Studies
/
Risk Factors
/
Urinary Retention
/
Cystocele
Type of study:
Etiology study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Female
/
Humans
Language:
English
Journal:
Journal of Menopausal Medicine
Year:
2018
Type:
Article
Similar
MEDLINE
...
LILACS
LIS