Incidence of postoperative urinary retention after pelvic organ prolapse surgery in Cipto Mangunkusumo National General Hospital
Abstract
Background: After vaginal delivery, every woman has 50% risk for pelvic organ prolapse (POP). The lifetime risk for a woman to undergo surgical treatment for POP was 11%, with the incidence of postoperative urinary retention (POUR) after POP surgery of 2%-43%. The aim of our study is to identify the incidence of POUR after POP surgery in Cipto Mangunkusumo National General Hospital (RSCM) and the risk factors.
Methods: Medical records of 124 women undergoing pelvic prolapse surgery between 2010 and 2013 were analyzed. The incidence of POUR and the risk factors were identified by performing univariate and bivariate analysis using chi-Square test and its alternative with using SPSS 20.0. Independent variables include age, body mass index (BMI), parity, degree of prolapse, type of surgery technique, type of anesthesia, type of suture material, amount of intra-operative blood loss, and duration of surgery. POUR defined as urine residual volume more than 100cc.
Results: The incidence of urinary retention after pelvic prolapse surgery was 29%. There was no correlation between age, BMI, parity, degree of prolapse, type of surgery technique, anesthesia, suture, intra-operative blood loss, duration of surgery, and the occurrence of urinary retention after pelvic organ prolapse surgery.
Conclusion: The incidence of urinary retention after pelvic organ prolapse surgery was 29%. There was no correlation between the risk factors and the occurrence of urinary retention after pelvic organ prolapse surgery.
References
Maher C, Baessler K, Glazener CM, Adams EJ, Hagen S. Surgical management of pelvic organ prolapse in women: a short version Cochrane review. Neurourol Urodyn.2008;27(1):3-12. http://dx.doi.org/10.1002/nau.20542
Olsen AL, Smith VG, Bergstorm JO, Colling JC, Clark AL. Epidemiology of surgically managed pelvic organ prolapse and urinary incontinence. Obstet Gynecol. 1997;89(4):501-6. http://dx.doi.org/10.1016/S0029-7844(97)00058-6
Hakvoort RA, Dijkgraaf MG, Burger MP, Emanuel MH, Roovers JP. Predicting short term urinary retention after vaginal prolapse surgery. Neurourol Urodyn. 2009;28(3):225-8. http://dx.doi.org/10.1002/nau.20636
Buchko BL, Robinson LE, Bell TD. Translating an Evidence-Based Algorithm to Decrease early Post-operative Urinary retention after Urogynecologic Surgery. Urol Nurs.2013;33(1):24-32.
Sokol AL, Jelovsek JE, Walters MD, Paraiso MF, Barber MD. Incidence and predictors of prolonged urinary retention after TVT with and without concurrent prolapse surgery. Am J Obstet Gynecol. 2005;192(5):1537-43. http://dx.doi.org/10.1016/j.ajog.2004.10.623
Baldini G, Bagry H, Aprikian A, Carli F. Postoperative urinary retention: anesthetic and perioperative considerations. Anestesiology. 2009;110(5):1139-57. http://dx.doi.org/10.1097/ALN.0b013e31819f7aea
Kamilya G, Seal SL, Mukherji J, Bhattacharyya SK, Hazra A. A randomized controlled trial comparing short versus long-term catheterization after uncomplicated vaginal prolapse surgery. J Obstet Gynaecol Res. 2010;36(1):154-8. http://dx.doi.org/10.1111/j.1447-0756.2009.01096.x
Dicker RC, Greenspan JR, Strauss LT, Cowart MR, Scally MJ, Peterson HB, et al. Complication of abdominal and vaginal hysterectomy among women of reproductive age in the United States. The Collaborative Reviews of Sterilization. Am J Obstet Gynecol. 1982;144(7):841-8.
Feliciano T, Montero J, McCarthy M, Priester M. A retrospective, descriptive, exploratory study evaluating incidecnce of postoperative urinary retention after spinal anesthesia and its effect on PACU discharge. J Perianesth Nurs. 2008;23(6):394-400. http://dx.doi.org/10.1016/j.jopan.2008.09.006
Steggall M, Treacy C, Jones M. Post-operative urinary retention. Nurs Stand. 2013;28(5):43-8. http://dx.doi.org/10.7748/ns2013.10.28.5.43.e7926
Pramono N. Upaya meningkatkan kualitas hidup perempuan lanjut usia. Maj Obstet Ginekol Indones.1999;23:57-72. Indonesian.
Samsioe G. Medical and surgical strategies for treating urogynecological disorders. Int J Fertil Menopausal Stud. 1996;41(2):136-41.
Fatania K, Vithayathil M, Newbold P, Yoong W.Vaginal versus abdominal hysterectomy for the enlarged non prolaps uterus: a retrospective cohort study. Eur J Obstet Gynecol Reprod Biol.2014;174:111-4. http://dx.doi.org/10.1016/j.ejogrb.2013.12.003
Wakavaiachi VM, Girao MJ, Sartori MG, Baracat EC, Rodriques de lima G, Novo NF. Changes in the lower urinary tract in continent women and in women with stress urinary incontinence, according to menopausal status. Int Urogynecol J Pelvic Floor Dysfunct. 2001;12(3):156-60. http://dx.doi.org/10.1007/s001920170057
Mutone N, Brizendine E, Hale D. Factors that influence voiding function after the tension-free vaginal tape procedure for stress urinary incontinence. Am J Obstet Gynecol.2003;188(6):1477-83. http://dx.doi.org/10.1067/mob.2003.453
Moss E, Toozs-Hobson P, Cardozo L, Emens M, Pogmore JR, Constantine G. A multicentre review of the tension-free vaginal tape procedure in clinical practice. J Obstet Gynaecol.2002;22(5):519-22 http://dx.doi.org/10.1080/0144361021000003672
Kepenekci I, Keskinkilic B, Akinsu F, Cakir P, Elhan AH, Erkek AB, et al. Prevalence of pelvic floor disorders in the female population and the impact of age, mode of delivery, and parity. Dis Colon Rectum. 2011;54(1):85-94. http://dx.doi.org/10.1007/DCR.0b013e3181fd2356
Lakeman MM, Hakvoort RA, Van de Weijer EP, Emanuel MH, Roovers JP. Anterior colporrhapy does not induce bladder outlet obstruction. Int Urogynecol J. 2012;23(6):723-8. http://dx.doi.org/10.1007/s00192-012-1688-0
Lorzadeh N, Kazemirad S, Lorzadeh M. Urinary retention following gynecologic surgery and effect of foley catheter clamping on its prophylaxis. J Med Sci. 2007;7(8):1358-61. http://dx.doi.org/10.3923/jms.2007.1358.1361
Wohlrab KJ, Erekson EA, Korbly NB, Drimbarean CD, Rardin CR, Sung VW. The association between regional anesthesia and acute postoperative urinary retention in women undergoing outpatient midurethral sling procedures. Am J Obstet Gynecol. 2009;200(5):571.e1-5. http://dx.doi:10.1016/j.ajog.2008.11.021
Djusad S. Penatalaksanaan retensio urine pascabedah. In: Junizaf, Buku ajar uroginekologi. Subbagian Uroginekologi-Rekonstruksi bagian Obgin FKUI/RSUPN-CM. Jakarta: Himpunan Uroginekologi Indonesia.2002. p. 63-9. Indonesian.
Copyright (c) 2015 Tyas Priyatini, Joan M. Sari
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors who publish with Medical Journal of Indonesia agree to the following terms:
- Authors retain copyright and grant Medical Journal of Indonesia right of first publication with the work simultaneously licensed under a Creative Commons Attribution-NonCommercial License that allows others to remix, adapt, build upon the work non-commercially with an acknowledgment of the work’s authorship and initial publication in Medical Journal of Indonesia.
- Authors are permitted to copy and redistribute the journal's published version of the work non-commercially (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in Medical Journal of Indonesia.