Clinical predictors of urinary retention after pelvic reconstructive and stress urinary incontinence surgery.

Clinical predictors of urinary retention after pelvic reconstructive and stress urinary incontinence surgery. Research Abstract Details 

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Clinical predictors of urinary retention after pelvic reconstructive and stress urinary incontinence surgery. Abstract Text:

Yuko M Komesu,Rebecca G Rogers,Dorothy N Kammerer-Doak,Ambre L Olsen,Peter K Thompson,Mark D Walters,

OBJECTIVE: To evaluate the impact of perioperative variables on length of postoperative catheterization. STUDY DESIGN: A multicenter, prospective, cohort study of women undergoing pelvic reconstructive and/or incontinence surgery was performed. Perioperative variables associated with length of catheterization and prolonged catheterization (catheterization >30 days) were analyzed. Univariate logistic regression was used identify variables associated with urinary retention. Multivariate logistic regression analysis was performed on variables identified by univariate analysis to construct the best model predicting prolonged postoperative catheterization. RESULTS: Catheterization data were available for 408 patients. Mean catheterization length was 11 +11 days. Thirty-four patients required prolonged catheterization. Logistic regression analysis selected 3 variables as predictors of prolonged catheterization: performance of pubovaginal sling (OR 5.44), performance of vaginal apex suspension (OR 2.32) and preoperative presence of grade 3/4 vaginal apex descent (OR 2.75) (all p < or =0.05). The probability of prolonged catheterization occurring in the absence of any of the predictors was 2% and increased to 5-11% if 1 predictor was present. When all 3 were present, the probability of prolonged catheter use increased to 45%. CONCLUSION: The performance of a pubovaginal sling and of a vaginal apex suspension or the preoperative presence of grade 3/4 vaginal apex descent are associated with prolonged postoperative catheterization.

Clinical predictors of urinary retention after pelvic reconstructive and stress urinary incontinence surgery. Publishing Authors By Initials

YM Komesu,RG Rogers,DN Kammerer-Doak,AL Olsen,PK Thompson,MD Walters,

For similar urogenital system: genitalia: genitalia, female: vagina research abstracts see: urogenital system: genitalia: genitalia, female: vagina research

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Clinical predictors of urinary retention after pelvic reconstructive and stress urinary incontinence surgery. Journal Published:

PUBLICATION TYPE: Research Support, Non-U.S. Gov

Journal: The Journal of reproductive medicine

VOLUME: 52

Page Numbers: 611-5

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ISSN: 0024-7758

DAY: 3

MONTH: Jul

YEAR: 2007

Clinical predictors of urinary retention after pelvic reconstructive and stress urinary incontinence surgery. Information

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LANGUAGE: eng

NlmUniqueID: 173343

Clinical predictors of urinary retention after pelvic reconstructive and stress urinary incontinence surgery. Keywords Mesh Terms:

KEYWORDS: Vagina

MESH TERMS: surgery

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Grant and Affiliation Information for Clinical predictors of urinary retention after pelvic reconstructive and stress urinary incontinence surgery.

AFFILIATION: Division of Female Pelvic Floor Disorders, Dept. of Obstetrics and Gynecology, University of New Mexico Health Sciences Center and Dept. of Obstetrics and Gynecology, Lovelace Health Systems, Albuquerque, New Mexico 87131-5286, USA. ykomesu@salud.unm.edu

Country: United States

AGENCY: United States NCRR

GRANT: M01 RR 00997

ACRONYM: RR

MEDLINETA: J Reprod Med

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