Retrospective Cohort Study on the Perioperative Risk Factors for Transient Voiding Dysfunction After Apical Prolapse Repair

Female Pelvic Medicine & Reconstructive Surgery
Chidimma U EtoGina M Northington

Abstract

The primary aim was to compare the incidence of transient voiding dysfunction (TVD) between vaginal uterosacral ligament suspension, sacrospinous ligament fixation, and robotic sacrocolpopexy. Secondarily, we identified risk factors for TVD and associated postoperative complications. This was a retrospective cohort study of women who underwent apical repair at 1 institution. Data were collected from electronic medical records and were presented as means (SD) or numbers (percent) as appropriate. Univariate and multivariate analyses were performed to identify risk factors for TVD and its associated postoperative complications. Three hundred sixty women were included in analysis. Two hundred nineteen (60.8%) passed their voiding trial and 141 (39.2%) experienced TVD. The TVD group demonstrated a higher age, age-adjusted Charlson Comorbidity Index score, and preoperative postvoid residual (all P < 0.05). Univariate analysis demonstrated higher rates of TVD in the vaginal uterosacral ligament suspension and sacrospinous ligament fixation groups compared with the robotic sacrocolpopexy group (P = 0.012). Transient voiding dysfunction occurred more frequently with a concomitant anti-incontinence procedure, anterior repair, and/or post...Continue Reading

References

Sep 5, 2014·Female Pelvic Medicine & Reconstructive Surgery·Lindsay C TurnerJonathan P Shepherd
Oct 30, 2016·American Journal of Obstetrics and Gynecology·Christopher M RipperdaDavid D Rahn

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Citations

Feb 8, 2021·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Yidi MaLan Zhu
Jul 15, 2021·Female Pelvic Medicine & Reconstructive Surgery·Angela DiCarlo-MeachamWalter von Pechmann

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