Postoperative urinary retention after pelvic organ prolapse repair: Vaginal versus robotic transabdominal approach
| Autor: | Sam Siddighi, Junchan Joshua Yune, Julie W. Cheng, Joo Kim, Jeffrey S. Hardesty, Hillary Wagner |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Multivariate analysis Urology Uterosacral ligament Urination Pelvic Organ Prolapse 03 medical and health sciences Postoperative Complications 0302 clinical medicine Robotic Surgical Procedures medicine Humans 030212 general & internal medicine Risk factor Aged Univariate analysis 030219 obstetrics & reproductive medicine Urinary retention business.industry Medical record Odds ratio Middle Aged Urinary Retention Surgery Urodynamics medicine.anatomical_structure Concomitant Vagina Urologic Surgical Procedures Female Neurology (clinical) medicine.symptom business |
| Zdroj: | Neurourology and Urodynamics. 37:1794-1800 |
| ISSN: | 0733-2467 |
| DOI: | 10.1002/nau.23526 |
| Popis: | AIMS Postoperative urinary retention has been reported in 13-32% of patients that undergo pelvic organ prolapse (POP) repair. The purpose of our study was to compare rates of urinary retention between transvaginal and robotic transabdominal approaches and identify risk factors for postoperative urinary retention following POP repair. METHODS Medical records of patients that underwent POP repair were reviewed. Surgeries included transvaginal high uterosacral ligament suspension (HUSLS) and robotic-assisted sacral colpopexy (RASCP). All patients underwent a retrograde fill voiding trial (RGVT) postoperatively. Demographics, comorbidities, preoperative urodynamic findings, and surgical procedures were compared between women that passed their RGVT and those that did not. RESULTS Out of 484 patients reviewed, 333 underwent POP repair with a transvaginal HUSLS and 151 underwent RASCP. Postoperative urinary retention was identified in 128 (26.4%) patients where 113 underwent transvaginal HUSLS and 15 underwent RASCP. The odds ratio (OR) of postoperative urinary retention following transvaginal HUSLS was 3.26 (CI 1.72-6.18; P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text