J Menopausal Med.  2018 Dec;24(3):163-168. 10.6118/jmm.2018.24.3.163.

Predictors of Acute Postoperative Urinary Retention after Transvaginal Uterosacral Suspension Surgery

Affiliations
  • 1Department of Obstetrics and Gynecology, Kyung Hee University Hospital at Gangdong, Kyung Hee University College of Medicine, Seoul, Korea. yooe7@khu.ac.kr
  • 2Department of Obstetrics and Gynecology, Kyung Hee University Medical Center, Kyung Hee University College of Medicine, Seoul, Korea.

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.

Keyword

Pelvic organ prolapse; Postoperative complications; Urination disorders

MeSH Terms

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
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