Journal of Menopausal Medicine

The Korean Society of Menopause (대한폐경학회)
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Predictors of Acute Postoperative Urinary Retention after Transvaginal Uterosacral Suspension Surgery

  • Son, Eun-Joo (Department of Obstetrics and Gynecology, Kyung Hee University Hospital at Gangdong, Kyung Hee University College of Medicine) ;
  • Joo, Eunwook (Department of Obstetrics and Gynecology, Kyung Hee University Hospital at Gangdong, Kyung Hee University College of Medicine) ;
  • Hwang, Woo Yeon (Department of Obstetrics and Gynecology, Kyung Hee University Medical Center, Kyung Hee University College of Medicine) ;
  • Kang, Mi Hyun (Department of Obstetrics and Gynecology, Kyung Hee University Medical Center, Kyung Hee University College of Medicine) ;
  • Choi, Hyun Jin (Department of Obstetrics and Gynecology, Kyung Hee University Medical Center, Kyung Hee University College of Medicine) ;
  • Yoo, Eun-Hee (Department of Obstetrics and Gynecology, Kyung Hee University Hospital at Gangdong, Kyung Hee University College of Medicine)
  • Received : 2018.06.12
  • Accepted : 2018.08.29
  • Published : 2018.12.31
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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.

Keywords

References

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