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Uterus Preservation in Case of Vaginal Prolapse Surgery Acts as a Protector against Postoperative Urinary Retention

Background: The aim of this study was to identify clinical risk factors for increased post-void residual (PVR) volumes in patients undergoing vaginal prolapse surgery and to find out whether uterus preservation or prolapse hysterectomy influences the incidence of postoperative urinary retention. Met...

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Autores principales: Bekos, Christine, Morgenbesser, Raffaela, Kölbl, Heinz, Husslein, Heinrich, Umek, Wolfgang, Bodner, Klaus, Bodner-Adler, Barbara
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7700611/
https://www.ncbi.nlm.nih.gov/pubmed/33238423
http://dx.doi.org/10.3390/jcm9113773
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author Bekos, Christine
Morgenbesser, Raffaela
Kölbl, Heinz
Husslein, Heinrich
Umek, Wolfgang
Bodner, Klaus
Bodner-Adler, Barbara
author_facet Bekos, Christine
Morgenbesser, Raffaela
Kölbl, Heinz
Husslein, Heinrich
Umek, Wolfgang
Bodner, Klaus
Bodner-Adler, Barbara
author_sort Bekos, Christine
collection PubMed
description Background: The aim of this study was to identify clinical risk factors for increased post-void residual (PVR) volumes in patients undergoing vaginal prolapse surgery and to find out whether uterus preservation or prolapse hysterectomy influences the incidence of postoperative urinary retention. Methods: This retrospective study included women who presented with pelvic organ prolapse (POP) and planned prolapse surgery between January 2017 and July 2019. PVR was assessed postoperatively and increased amounts were defined as incomplete voiding with residual urine volume greater than 150 mL. Results: Increased PVR at the first postoperative day occurred in 31.8% (56/176). Body mass index (BMI) was significantly lower in patients with increased PVR after pelvic floor surgery compared to patients with normal PVR amounts (p = 0.040). Furthermore, during multiple logistic regression analysis, low BMI (p = 0.009) as well as prolapse hysterectomy (p = 0.032) turned out to be the strongest risk factors associated with increased PVR volume. Conclusion: This is the first study identifying prolapse hysterectomy as an independent risk factor for increased PVR after surgical prolapse repair. Our results might be helpful in counseling patients prior to surgery and underline the option of uterus preservation during prolapse surgery in selected cases.
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spelling pubmed-77006112020-11-30 Uterus Preservation in Case of Vaginal Prolapse Surgery Acts as a Protector against Postoperative Urinary Retention Bekos, Christine Morgenbesser, Raffaela Kölbl, Heinz Husslein, Heinrich Umek, Wolfgang Bodner, Klaus Bodner-Adler, Barbara J Clin Med Article Background: The aim of this study was to identify clinical risk factors for increased post-void residual (PVR) volumes in patients undergoing vaginal prolapse surgery and to find out whether uterus preservation or prolapse hysterectomy influences the incidence of postoperative urinary retention. Methods: This retrospective study included women who presented with pelvic organ prolapse (POP) and planned prolapse surgery between January 2017 and July 2019. PVR was assessed postoperatively and increased amounts were defined as incomplete voiding with residual urine volume greater than 150 mL. Results: Increased PVR at the first postoperative day occurred in 31.8% (56/176). Body mass index (BMI) was significantly lower in patients with increased PVR after pelvic floor surgery compared to patients with normal PVR amounts (p = 0.040). Furthermore, during multiple logistic regression analysis, low BMI (p = 0.009) as well as prolapse hysterectomy (p = 0.032) turned out to be the strongest risk factors associated with increased PVR volume. Conclusion: This is the first study identifying prolapse hysterectomy as an independent risk factor for increased PVR after surgical prolapse repair. Our results might be helpful in counseling patients prior to surgery and underline the option of uterus preservation during prolapse surgery in selected cases. MDPI 2020-11-23 /pmc/articles/PMC7700611/ /pubmed/33238423 http://dx.doi.org/10.3390/jcm9113773 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Bekos, Christine
Morgenbesser, Raffaela
Kölbl, Heinz
Husslein, Heinrich
Umek, Wolfgang
Bodner, Klaus
Bodner-Adler, Barbara
Uterus Preservation in Case of Vaginal Prolapse Surgery Acts as a Protector against Postoperative Urinary Retention
title Uterus Preservation in Case of Vaginal Prolapse Surgery Acts as a Protector against Postoperative Urinary Retention
title_full Uterus Preservation in Case of Vaginal Prolapse Surgery Acts as a Protector against Postoperative Urinary Retention
title_fullStr Uterus Preservation in Case of Vaginal Prolapse Surgery Acts as a Protector against Postoperative Urinary Retention
title_full_unstemmed Uterus Preservation in Case of Vaginal Prolapse Surgery Acts as a Protector against Postoperative Urinary Retention
title_short Uterus Preservation in Case of Vaginal Prolapse Surgery Acts as a Protector against Postoperative Urinary Retention
title_sort uterus preservation in case of vaginal prolapse surgery acts as a protector against postoperative urinary retention
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7700611/
https://www.ncbi.nlm.nih.gov/pubmed/33238423
http://dx.doi.org/10.3390/jcm9113773
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