Analisis Pergerakan Leher Kandung Kemih, Ukuran Genital Hiatus, Titik Aa dan Ba pada POP-Q dengan Retensio Urin pada Pasien Pasca-Perbaikan Prolaps Organ Panggul

Abstract

Pendahuluan:Retensio urin pasca-operasi merupakan kejadian yang sering terjadi setelah operasi perbaikan prolaps organ panggul (POP), dengan angka kejadian berkisar antara 2,5 – 24%. Parameter yang digunakan untuk mengevaluasi pergerakan kandung kemih dan gangguan berkemih yaitu penurunan leher kandung kemih, sudut retrovesika, dan rotasi uretra. Tujuan untuk mengetahui hubungan antara profil leher kandung kemih, ukuran genital hiatus, dan titik Aa dan Ba pada POP-Q terhadap retensio urin pasca-perbaikan prolaps organ panggul.Metode: Penelitian observasional analitik ini menggunakan pendekatan rancangan potong lintang pada wanita yang menjalani operasi POP di RSUP Dr. Hasan Sadikin Bandung pada bulan Juni–November 2023.Hasil: Penurunan leher kandung kemih, sudut retrovesika, rotasi uretra, dan ukuran genital hiatus diukur dengan ultrasonografi. Titik Aa dan Ba diukur dengan skoring POP-Q, kemudian dilakukan pengukuran post-void residual volume. Ditemukan rata-rata usia pasien adalah 60±9 tahun. Sebagian besar subjek penelitian merupakan POP stadium III.Kesimpulan:Tidak terdapat perbedaan bermakna antara karakteristik subjek penelitian (p>0,05). Tidak terdapat perbedaan bermakna antara parameter leher kandung kemih, sudut retrovesika, rotasional uretra, ukuran urogenital hiatus, skor POP-Q titik Aa dan Ba terhadap volume PVR (p>0,05). Titik Ba pada POP-Q berkorelasi signifikan terhadap volume PVR pasca-perbaikan prolaps organ panggul.Analysis of Bladder Neck Movement Profile, Genital Hiatus Size, Points Aa and Ba on POP-Q with Urinary Retention in Post Pelvic Organ Prolapse Repair PatientsAbstract Introduction: Postoperative urinary retention is a common following surgical repair of pelvic organ prolapse (POP), with the incidence ranges between 2.5–24%. This study aimed to determine the relationship between bladder neck profile, genital hiatus, and Aa and Ba points in POP-Q on the incidence of urinary retention after repair of pelvic organ prolapse. Method: This analytical observational study was done with a cross-section design and included women underwent repair of pelvic organ prolapse at RSUP Dr. Hasan Sadikin Bandung in June–November 2023. Results: Bladder neck descent, retrovesical angle, urethral rotation, and genital hiatus were measured by ultrasonography. Points Aa and Ba were measured using POP-Q scoring, then post-void residual volume was measured. The patients had a mean age of 60±9 years. Most of the subjects were stage III POP. Conclusion: There were no significant differences between bladder neck descent, retrovesical angle, urethral rotation, urogenital hiatus, POP-Q scores points Aa and Ba and PVR volume (p>0.05). Point Ba on POP-Q was significantly correlated with PVR volume after pelvic organ prolapse repair.Key words: pelvic organ prolapse, post-void residual volume, urinary retention, rectovesical angle, urogenital hiatus