Postoperative resolution of urinary retention in patients with advanced pelvic organ prolapse

FitzGerald, Mary P.; Kulkarni, Neeta; Fenner, Dee E.

doi:10.1067/mob.2000.110956

Cited by 74 publications

(47 citation statements)

References 5 publications

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“…Unfortunately, this information was missing in enough patients to be deemed unsuitable to include in the analysis. While it is well documented that preoperative urodynamic abnormalities do not predict postoperative voiding dysfunction, preoperative voiding dysfunction is a known predictor, and by eliminating the subset of these patients with this a priori confounder, our results are strengthened [10,15,16].…”

Section: Discussionsupporting

confidence: 70%

Predictors for Voiding Trial Failure after Minimally Invasive Sacrocolpopexy

Thomson¹,

Foust-Wright²,

Batalden³

et al. 2015

OGIJ

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Introduction: Catheter associated urinary tract infections (CAUTIs) due to indwelling catheters pose a serious health and financial burden in the US. Patients who undergo reconstructive pelvic surgery experience postoperative voiding dysfunction at a significant rate, requiring prolonged catheterization. The preoperative identification of patients at highest risk of failing a backfill trial of void (TOV) would allow for selected instruction in self-catheterization techniques and minimize the prevalence in dwelling catheters.Objective: To identify predictors for voiding trial failure after minimally-invasive (laparoscopic or robot-assisted) sacrocolpopexy for surgical correction of prolapse in patients who did not undergo a concomitant urinary anti-incontinence procedure.Methods: All subjects undergoing minimally-invasive sacrocolpopexy without concomitant anti-incontinence surgery from October 2006 to July 2010 at our institution were included. Patient characteristics including basic demographics, medical and surgical history, operative characteristics, and baseline preoperative urodynamic testing were included. The data was analyzed with logistic regression for continuous variables and Pearson chi-squared test for dichotomous variables (Stata IC-13).Results: 56 subjects were identified. Of those, 5 subjects (8.9%) failed a postoperative voiding trial. No significant association between examined variables and failure of trial of void were observed. Concomitant vaginal surgery approached significance with a p-value of 0.058. Conclusion:The percentage of subjects that failed a voiding trail was comparable to that described in the minimally invasive literature. Providers should educate all patients undergoing minimally invasive sacrocolpopexy as to self-catheterization techniques given the inability to identify preoperative risk factors.

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Section: Discussionsupporting

confidence: 70%

Predictors for Voiding Trial Failure after Minimally Invasive Sacrocolpopexy

Thomson¹,

Foust-Wright²,

Batalden³

et al. 2015

OGIJ

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“…It is known that patients with advanced POP show a high rate of urinary retention secondary to compromised urethral flow. Adding anti-incontinence surgery in these patients may raise concerns about worsening o fthe obstructed urinary outflow, but adequate repair of the prolapse resolves the obstruction (6). One fifth of our cohort had preoperative PVR values greater than 100 mL but no patient had a PVR value suggesting outflow obstruction in the postoperative period.…”

Section: Discussionmentioning

confidence: 94%

“…Not much is known about management of the LUTS at the time of colpocleisis. Although a concomitant anti-incontinence procedure is suggested to prevent new onset postoperative urinary incontinence, it has been proposed that the weakened detrusor muscle function commonly seen in these elderly women may lead to urinary retention (3)(4)(5)(6). In this study, we retrospectively analyzed the impact of colpocleisis, with or without an anti-incontinence procedure, on post-operative objective and subjective outcomes.…”

Section: Introductionmentioning

confidence: 99%

Colpocleisis, patient satisfaction and quality of life

Asoğlu¹,

Selçuk²,

Çam³

et al. 2012

J Turkish German Gynecol Assoc

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Objective: The aim of this study was to investigate the impact of colpocleisis operations with or without an anti-incontinence procedure on post-operative objective and subjective outcomes. Material and Methods:Partial and total colpocleisis cases, with or without concomitant trans-obturator tension-free (TOT) procedure, were analyzed retrospectively. Pre-and post-operative POP-Q, urodynamics, UDI 6 and IIQ 7 scores and the level of patient satisfaction were the outcome measures.Results: A total of 27 patients with colpocleisis (23 partial and 4 total) were analyzed. Seven women underwent also a concomitant TOT procedure. Of the patients, 66.7%, 25.9% and 7.4% were 'very satisfied', 'satisfied' and 'not satisfied', respectively. UDI-6 and IIQ-7 scores were improved in all patients. Post-operative urinary retention was not observed and prolapse recurred in one patient. Conclusion:In elderly or medically compromised patients with advanced pelvic organ prolapse, colpocleisis is a safe and effective surgical technique with a high subjective satisfaction rate. A concomitant TOT procedure may be added where indicated. (J Turkish-German Gynecol Assoc 2012; 13: 253-6) Key words: Colpocleisis, transobturatuar tape, pelvic organ prolapse, quality of life, patient satisfaction Received: 02 August, 2012 Accepted: 20 September, 2012 Amaç: Bu çalışmanın amacı, kolpoklesis operasyonu±anti-inkontinans prosedürünün post-operatif objektif ve subjektif sonuçla-ra etkisini araştırmaktır. Abstract Özet Gereç ve Yöntemler:

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“…Another study out of Rush-Presebyterian-St. Luke's Medical Center showed an 89% success rate of normalizing post void residuals after surgical correction of pelvic prolapse [3]. Surgery, however, should not be considered for all patients as it does have adverse effects.…”

Section: Discussionmentioning

confidence: 99%

“…Although often asymptomatic, these complaints may include vaginal fullness, sacral back or abdominal pain, dyspareunia, urinary frequency, urgency, dysuria and even difficulty voiding [2]. Pelvic organ prolapse can affect the urinary tract function by reducing flow rates and increasing the post void residual urine volumes secondary to outlet obstruction [3]. If the diagnosis is missed or left untreated, pelvic organ prolapse can lead to acute renal injury, chronic renal failure or even end stage renal disease [4].…”

Section: Introductionmentioning

confidence: 99%

Procidentia as a Cause of Obstructive Uropathy and Acute Kidney Injury

et al. 2014

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Pelvic organ prolapse can affect urinary tract function by reducing flow rates and increasing post void residual urine volumes secondary to outlet obstruction. If the diagnosis is missed or left untreated, pelvic organ prolapse can lead to acute renal injury, chronic renal failure or even end stage renal disease. Herein, we present a case of a patient who presented to Albert Einstein Medical Center in Philadelphia, PA with urinary retention and acute kidney injury secondary to complete uterine prolapse, also referred to as procidentia.

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Postoperative resolution of urinary retention in patients with advanced pelvic organ prolapse

Cited by 74 publications

References 5 publications

Predictors for Voiding Trial Failure after Minimally Invasive Sacrocolpopexy

Predictors for Voiding Trial Failure after Minimally Invasive Sacrocolpopexy

Colpocleisis, patient satisfaction and quality of life

Procidentia as a Cause of Obstructive Uropathy and Acute Kidney Injury

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