ArticleBMC women's health2021
Postoperative urinary retention after pelvic organ prolapse surgery: influence of peri-operative factors and trial of void protocol.
Article in BMC women's health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed, 19 citations in OpenAlex.
- Effect of Preoperative Tamsulosin on Postoperative Urinary Retention Prevention After Sling Placement: A Randomized Controlled Trial.International urogynecology journal · 2025Trial
- Multimodal Prediction Model for Postoperative Voiding Dysfunction After Pelvic Organ Prolapse Surgery.International urogynecology journal · 2026Article
- Voiding Dysfunction After Prolapse Surgery: Uterosacral Ligament Suspension Versus Sacrospinous Ligament Suspension.International urogynecology journal · 2026Article
- Failure Rate, Time to Failure, and Associated Risk Factors: Polyacrylamide Hydrogel Injection for the Treatment of Stress Urinary Incontinence in a Large Cohort.International urogynecology journal · 2026Article
- Disentangling Procedural and Patient-Specific Drivers of Perioperative Outcomes in Pelvic Organ Prolapse Surgery: A Stratified Multigroup Analysis.Healthcare (Basel, Switzerland) · 2026Article
- Timing of Indwelling Catheter Removal and its Impact on Postoperative Urinary Retention Following Prolapse Surgery.International urogynecology journal · 2026Article
- Home Removal of Urinary Catheters After Pelvic Floor Reconstruction Surgery.International urogynecology journal · 2026Article
- Article
- Development and validation of a risk prediction model for urinary retention after pelvic floor reconstruction: a retrospective cohort study.European journal of medical research · 2026Article
- Development and validation of a predictive model for postoperative urinary retention following pelvic organ prolapse surgery: a retrospective study.Frontiers in medicine · 2026Article
- Association of Minimally Invasive Hysterectomy Route at the Time of Sacrocolpopexy with Postoperative Complications.International urogynecology journal · 2025Article
- Effect of Older Age on Postoperative Urinary Retention After Prolapse Surgery.Urogynecology (Philadelphia, Pa.) · 2025Article
- Incidence of and Risk Factors for Post-Operative Urinary Retention Following Surgery for Perineal Tears Among Ugandan Women: A Prospective Cohort Study.International urogynecology journal · 2024Article
- Early Removal of Indwelling Catheter and Vaginal Pack After Vaginal Prolapse Surgery: A Retrospective Cohort Study.International urogynecology journal · 2024Article
- Development and validation of a prediction model for postoperative urinary retention after prolapse surgery: A retrospective cohort study.BMC women's health · 2024Article
- Age and postoperative opioid use in women undergoing pelvic organ prolapse surgery.Acta obstetricia et gynecologica Scandinavica · 2023Article
- Postoperative void trial failure and same-day discharge following apical pelvic organ prolapse surgery: a retrospective matched case-control study.International urogynecology journal · 2023Article
- Frailty and Acute Postoperative Urinary Retention in Older Women Undergoing Pelvic Organ Prolapse Surgery.Urogynecology (Philadelphia, Pa.) · 2023Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTransient postoperative urinary retention (POUR) is common after pelvic floor surgery. We aimed to determine the association between peri-operative variables and POUR and to determine the number of voids required for post-void residuals (PVRs) to normalize postoperatively.
methodsWe conducted a retrospective cohort study of 992 patients undergoing pelvic floor surgery at a tertiary referral centre from January 2015 to October 2017. Variables assessed included: age, BMI, ASA score, anaesthesia type, type of surgery, length of postoperative stay, surgeon, bladder protocol used, and number of PVRs required to "pass" the protocol.
resultsSignificant risk factors for POUR included: placement of MUS during POP surgery, anterior repair and hysterectomy with concomitant sacrospinous vault suspension. A total of 25.1% were discharged requiring catheterization. Patients receiving a concomitant mid-urethral sling (MUS) were 2.2 (95% CI1.6-2.9) and 2.3 (95% CI 1.8-3.1) times more likely to have elevated PVR after their second TOV and third TOV (p < 0.0001), respectively, compared with those without concomitant MUS. Permitting a third TOV allowed an additional 10% of women to pass the voiding protocol before discharge. The median number of voids to pass protocol was 2. An ASA > 2 and placement of MUS were associated with increasing number of voids needed to pass protocol.
conclusionsWhile many women passed protocol by the second void, using the 3rd void as a cut point to determine success would result in fewer women requiring catheterization after discharge. Prior to pelvic floor surgery, women should be counselled regarding POUR probability to allow for management of postoperative expectations.
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