Evidence map›Paper›PMID 39807797›Full record

ArticleUrogynecology (Philadelphia, Pa.)2025

Effect of Older Age on Postoperative Urinary Retention After Prolapse Surgery.

Kristiana B McLarty, Stephanie W Zuo, Kristina J Warner, Steven R Orris, Tien C Nguyen, Nicole A Meckes, Brigid S Mumford, Kavya Bellam, Richael Rayen, Mary F Ackenbom

Abstract readMulticenter Study
In one paragraph

Article in Urogynecology (Philadelphia, Pa.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Kristiana B McLartyFrom the Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Pittsburgh Medical Center.
Stephanie W Zuo
Kristina J WarnerDepartment of Obstetrics and Gynecology, Division of Urogynecology and Reconstructive Pelvic Surgery, John H. Stroger, Jr. Hospital of Cook County, Chicago, IL.
Steven R OrrisDuquesne University College of Medicine.
Tien C NguyenUniversity of Pittsburgh School of Medicine, Pittsburgh, PA.
Nicole A Meckes
Brigid S MumfordDepartment of Obstetrics and Gynecology, Division of Urogynecology and Reconstructive Pelvic Surgery, Beth Israel Deaconess Medical Center, Boston, MA.
Kavya BellamUniversity of Pittsburgh.
Richael RayenUniversity of Pittsburgh.
Mary F Ackenbom

Funding

Evaluating the association between surgery and subsequent cognitive function, everyday functioning, and independenceK23AG073517 · NIA · MAGEE-WOMEN'S RES INST AND FOUNDATION · PI ACKENBOM, MARY · 2021 to 2023
$507k
NIA NIH HHS K23 AG073517
6 · The paper itself

Abstract

importancePostoperative urinary retention (POUR) is common after reconstructive pelvic surgery. Little is known about the relationship between older age (≥70 years) and POUR after pelvic organ prolapse surgery.

objectivesWe aimed to investigate the relationship between age ≥70 years and POUR. Secondarily, we aimed to determine if duration of urinary catheterization differed by age in women with POUR. STUDY

designThis was a secondary analysis of a dual-center retrospective study on perioperative adverse events in biologic females aged ≥61 years undergoing prolapse surgery. The primary outcome was POUR, defined as a failed retrograde voiding trial requiring bladder catheterization. The secondary outcome was duration of temporary bladder catheterization. We developed a stepwise multivariable logistic regression model, which included relevant variables with P < 0.10 on univariate analyses and a forced age variable.

resultsIn this cohort of 2,665 women, mean ± standard deviation age was 71.2 ± 6.7 years, and 54.6% were ≥70 years, POUR occurred in 830 (31.1%) patients. Women with POUR had a lower body mass index and were more likely to have undergone a vaginal prolapse surgery and concomitant hysterectomy/incontinence procedure ( P < 0.05). They had higher estimated blood loss (75 vs 50 mL, P < 0.001). On multivariable logistic regression, age ≥70 years was not associated with POUR (adjusted odds ratio 1.02, 95% CI [0.83-1.26]). Age ≥70 years was associated with longer duration of catheterization (5 vs 4 days, P < 0.01).

conclusionAge was not associated with POUR when controlling for other clinical factors (body mass index, surgical approach, concomitant hysterectomy/incontinence surgery, and estimated blood loss). These factors may affect POUR in older women and should be considered in perioperative management.

Indexed as

Gynecologic Surgical ProceduresPelvic Organ ProlapsePostoperative ComplicationsUrinary RetentionAgedAged, 80 and overAge FactorsFemaleHumansRetrospective StudiesRisk FactorsTime FactorsUrinary Catheterization

Identifiers

PMID39807797
PMCPMC12577034

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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.