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Predictors of Acute Postoperative Urinary Retention after Transvaginal Uterosacral Suspension Surgery
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 uterosacra...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Society of Menopause
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6336568/ https://www.ncbi.nlm.nih.gov/pubmed/30671408 http://dx.doi.org/10.6118/jmm.2018.24.3.163 |
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author | Son, Eun-Joo Joo, Eunwook Hwang, Woo Yeon Kang, Mi Hyun Choi, Hyun Jin Yoo, Eun-Hee |
author_facet | Son, Eun-Joo Joo, Eunwook Hwang, Woo Yeon Kang, Mi Hyun Choi, Hyun Jin Yoo, Eun-Hee |
author_sort | Son, Eun-Joo |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-6336568 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | The Korean Society of Menopause |
record_format | MEDLINE/PubMed |
spelling | pubmed-63365682019-01-22 Predictors of Acute Postoperative Urinary Retention after Transvaginal Uterosacral Suspension Surgery Son, Eun-Joo Joo, Eunwook Hwang, Woo Yeon Kang, Mi Hyun Choi, Hyun Jin Yoo, Eun-Hee J Menopausal Med Original Article 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. The Korean Society of Menopause 2018-12 2018-12-31 /pmc/articles/PMC6336568/ /pubmed/30671408 http://dx.doi.org/10.6118/jmm.2018.24.3.163 Text en Copyright © 2018 by The Korean Society of Menopause http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/). |
spellingShingle | Original Article Son, Eun-Joo Joo, Eunwook Hwang, Woo Yeon Kang, Mi Hyun Choi, Hyun Jin Yoo, Eun-Hee Predictors of Acute Postoperative Urinary Retention after Transvaginal Uterosacral Suspension Surgery |
title | Predictors of Acute Postoperative Urinary Retention after Transvaginal Uterosacral Suspension Surgery |
title_full | Predictors of Acute Postoperative Urinary Retention after Transvaginal Uterosacral Suspension Surgery |
title_fullStr | Predictors of Acute Postoperative Urinary Retention after Transvaginal Uterosacral Suspension Surgery |
title_full_unstemmed | Predictors of Acute Postoperative Urinary Retention after Transvaginal Uterosacral Suspension Surgery |
title_short | Predictors of Acute Postoperative Urinary Retention after Transvaginal Uterosacral Suspension Surgery |
title_sort | predictors of acute postoperative urinary retention after transvaginal uterosacral suspension surgery |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6336568/ https://www.ncbi.nlm.nih.gov/pubmed/30671408 http://dx.doi.org/10.6118/jmm.2018.24.3.163 |
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