Predictors of Acute Postoperative Urinary Retention after Transvaginal Uterosacral Suspension Surgery
Journal of Menopausal Medicine
; : 163-168, 2018.
Article
in En
| WPRIM
| ID: wpr-765751
Responsible library:
WPRO
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.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Postoperative Complications
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Urination Disorders
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Urinary Bladder
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Catheterization
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Catheters, Indwelling
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Logistic Models
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Retrospective Studies
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Risk Factors
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Urinary Retention
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Cystocele
Type of study:
Etiology_studies
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Observational_studies
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Prognostic_studies
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Risk_factors_studies
Limits:
Female
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Humans
Language:
En
Journal:
Journal of Menopausal Medicine
Year:
2018
Type:
Article