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

• Son EJ
• Joo E
• Hwang WY
• Kang MH
• Choi HJ
• Yoo EH

• KMID: 2455889
• DOI: http://doi.org/10.6118/jmm.2018.24.3.163

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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