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KMID : 1144220180240030163
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Journal of Menopausal Medicine
2018 Volume.24 No. 3 p.163 ~ p.168
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Predictors of Acute Postoperative Urinary Retention after Transvaginal Uterosacral Suspension Surgery
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Son Eun-Joo
Joo Eun-Wook
Hwang Woo-Yeon
Kang Mi-Hyun
Choi Hyun-Jin
Yoo Eun-Hee
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Abstract
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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.
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KEYWORD
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Pelvic organ prolapse, Postoperative complications, Urination disorders
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