Risk factors for postoperative voiding dysfunction following surgery for pelvic organ prolapse
European Journal of Obstetrics & Gynecology and Reproductive Biology Jun 17, 2021
Verma V, Savickaite K, Rajshekhar S, et al. - Researchers conducted a retrospective case-control study in a tertiary center in the UK with the aim to ascertain the risk factors for voiding dysfunction following surgery for POP (Pelvic organ prolapse). The study cohort included women who underwent surgery for pelvic organ prolapse with a failed trial without catheter (TWOC). Consecutive women on the surgical database who passed TWOC were included in the control group. The study group and the control group, both included 43 patients after exclusion. Postoperative voiding dysfunction (POVD) incidence of 15% was recorded, and long-term voiding problems were not recorded in any of the patients. As per logistic regression analysis, there were following five risk factors - advanced pelvic organ prolapse, comorbidities, preoperative anticholinergics and/or antidepressants, sacrospinous hysteropexy/colpopexy and postoperative opioid use. These five risk factors could aid in recognizing the women who would benefit from advanced counseling and management plans following surgery for pelvic organ prolapse.
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