Hines KN, McKenzie C, Overholt T, et al. - The outcomes indicated that after native tissue vaginal reconstruction, hysterectomy, surgical length, and estimated blood loss were significantly correlated with delayed return of bladder function. The findings can help clinicians tailor postoperative voiding trials after failed initial attempts.

• In this study, 148 women had undergone surgery, 124 were examined between 2013 and 2018. Sixty-seven years (±11.1) was the mean age, 62.9% (n = 78) had greater than or equal to stage 3 prolapse.

• The results showed that the meantime to return to bladder function: 4.1 days (±3.1).

• It was shown that significant risk factors for >4 days to return of bladder function on univariate analysis included (mean ± SD): surgery length (150.4 min ±44.6) (odds ratio [OR], 1.24; confidence interval [CI], 1.12, 1.38); anesthesia length (228.1 min ±53.5) (OR, 1.12; CI: 1.04, 1.23); length of stay (2.2 days ±2.7) (OR, 2.43; CI: 1.11, 5.35); hysterectomy (OR, 3.10; CI: 1.39, 6.90); estimated blood loss (124.4 ml ±64.8) (OR, 1.39; CI: 1.04, 1.87).

• It has been reported that the postmenopausal status was protective (OR, 0.17; CI: 0.03, 0.92.).

• The multivariate analysis demonstrated that the significant findings were diabetes mellitus (OR, 0.18; CI: 0.04, 0.93) and surgery length (OR, 1.21; CI: 1.06, 1.38).