Predictors of Acute Postoperative Urinary Retention after Transvaginal Uterosacral Suspension Surgery
10.6118/jmm.2018.24.3.163
- Author:
Eun Joo SON
1
;
Eunwook JOO
;
Woo Yeon HWANG
;
Mi Hyun KANG
;
Hyun Jin CHOI
;
Eun Hee YOO
Author Information
1. Department of Obstetrics and Gynecology, Kyung Hee University Hospital at Gangdong, Kyung Hee University College of Medicine, Seoul, Korea. yooe7@khu.ac.kr
- Publication Type:Original Article
- Keywords:
Pelvic organ prolapse;
Postoperative complications;
Urination disorders
- MeSH:
Catheterization;
Catheters;
Catheters, Indwelling;
Cystocele;
Female;
Humans;
Hypertension;
Hysterectomy, Vaginal;
Logistic Models;
Pelvic Organ Prolapse;
Postoperative Complications;
Retrospective Studies;
Risk Factors;
Urinary Bladder;
Urinary Retention;
Urination Disorders
- From:Journal of Menopausal Medicine
2018;24(3):163-168
- CountryRepublic of Korea
- Language:English
-
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.
