Evidence map›Paper›PMID 38985333›Full record

ArticleInternational urogynecology journal2024

Incidence of and Risk Factors for Post-Operative Urinary Retention Following Surgery for Perineal Tears Among Ugandan Women: A Prospective Cohort Study.

Musa Kayondo, Onesmus Byamukama, Brenda Ainomugisha, Rogers Kajabwangu, Paul Kato Kalyebara, Leevan Tibaijuka, Henry Mark Lugobe, Verena Geissbühler

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International urogynecology journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Musa KayondoFaculty of Medicine, Mbarara University of Science and Technology, P.O.BOX 1410, Mbarara, Uganda. mkayondo@must.ac.ug.
Onesmus ByamukamaFaculty of Medicine, Mbarara University of Science and Technology, P.O.BOX 1410, Mbarara, Uganda.
Brenda AinomugishaFaculty of Medicine, Mbarara University of Science and Technology, P.O.BOX 1410, Mbarara, Uganda.
Rogers KajabwanguFaculty of Medicine, Mbarara University of Science and Technology, P.O.BOX 1410, Mbarara, Uganda.
Paul Kato KalyebaraFaculty of Medicine, Mbarara University of Science and Technology, P.O.BOX 1410, Mbarara, Uganda.
Leevan TibaijukaFaculty of Medicine, Mbarara University of Science and Technology, P.O.BOX 1410, Mbarara, Uganda.
Henry Mark LugobeFaculty of Medicine, Mbarara University of Science and Technology, P.O.BOX 1410, Mbarara, Uganda.
Verena GeissbühlerDepartment of Gynecology, University of Basel, Basel, Switzerland.

Funding

Else Kröner-Fresenius-Stiftung 2018_HA148
6 · The paper itself

Abstract

introduction and hypothesisWe aimed to determine the incidence and risk factors for post-operative urinary retention (POUR) following surgery for perineal tears, and to determine the time to normal voiding after POUR.

methodsThis was a prospective cohort study of women who underwent surgery for old (≥ 3 months) obstetric perineal tears from January 2022 to December 2023. The diagnosis of POUR was made in a woman who completely failed to void despite a full bladder or, one who had post-void residual (PVR) > 150 ml within 10 min of voiding. Return to normal voiding was considered if a patient with POUR had two consecutive PVRs of ≤ 150 ml. Descriptive analyses and multivariable logistic regression were performed to determine risk factors for POUR.

resultsA total of 153 participants were enrolled in this study with a mean age of 35.9 (SD ± 10.8) years. The incidence of POUR was 19.6% (30/153, 95% CI 14.02-26.7), and the median time to normal voiding for these patients was 42.4 h (range 24-72). Risk factors for POUR included repeat perineal tear surgery (RR = 4.24; 95% CI 1.16-15.52; p = 0.029) and early urinary catheter removal (RR = 2.89; 95% CI 1.09-7.67; p = 0.033).

conclusionPost-operative urinary retention following surgery for perineal tears is common. The time to return to normal voiding in patients with POUR is short. Women having repeat perineal tear surgery and those in whom the urinary catheter is removed early were more likely to experience POUR. Delayed urinary catheter removal could be considered, especially in patients undergoing repeat perineal tear surgery.

Indexed as

PerineumPostoperative ComplicationsUrinary RetentionAdultFemaleHumansIncidenceLacerationsMiddle AgedProspective StudiesRisk FactorsUgandaPerineal tearsPost-operative urinary retentionPost-void residualsRisk factorsSurgery

Identifiers

PMID38985333
PMCPMC11380657

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.