Lack of preoperative predictors of the immediate return of postoperative bladder emptying after uterosacral ligament suspension

Christopher P. Chung, Thomas J. Kuehl, Kimberly M. Spoonts, Danilo A. Martins, Wilma I. Larsen, Paul M. Yandell, Bobby L. Shull

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

OBJECTIVES: To determine whether preoperative postvoid residual volume (PVR), pelvic organ prolapse quantification (POPQ) stage, patient characteristics, or concurrent operations are predictors of immediate postoperative bladder emptying after uterosacral ligament suspension (USLS). METHODS: A review of patients undergoing USLS in 2008 and 2009 was performed. The factors analyzed included patient age, body mass index, parity, preoperative PVR, POPQ stage, concurrent anterior repair, posterior repair, hysterectomy and/or sling procedures, and postoperative voiding trial status. RESULTS: During the study interval, 151 patients underwent USLS with various combinations of concurrent procedures. The mean preoperative PVR was 90 mL. Seventy-five patients (50%) passed the postoperative voiding trial on postoperative day 1. Patients who passed the postoperative voiding trial and those who failed had similar average preoperative PVR (P = 0.94), similar age (P = 0.14), body mass index (P = 0.45), parity (P = 0.82), and preoperative POPQ stage (P = 0.80). There was no difference (P ≥ 0.14) among concurrent surgical procedures in the proportion of patients who passed the postoperative voiding trial based on univariate analyses. CONCLUSIONS: In our cohort of patients, preoperative PVR, POPQ stage, and other patient characteristics were not predictors of immediate postoperative bladder emptying after USLS. Postoperative voiding function is one of the most unpredictable aspects of pelvic reconstructive surgery.

Original languageEnglish (US)
Pages (from-to)267-269
Number of pages3
JournalSouthern medical journal
Volume106
Issue number4
DOIs
StatePublished - Apr 1 2013
Externally publishedYes

Fingerprint

Ligaments
Suspensions
Urinary Bladder
Residual Volume
Pelvic Organ Prolapse
Parity
Reconstructive Surgical Procedures
Body Mass Index
Postoperative Care
Hysterectomy

Keywords

  • postoperative bladder emptying
  • postvoid residual volume
  • uterosacral ligament suspension

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Lack of preoperative predictors of the immediate return of postoperative bladder emptying after uterosacral ligament suspension. / Chung, Christopher P.; Kuehl, Thomas J.; Spoonts, Kimberly M.; Martins, Danilo A.; Larsen, Wilma I.; Yandell, Paul M.; Shull, Bobby L.

In: Southern medical journal, Vol. 106, No. 4, 01.04.2013, p. 267-269.

Research output: Contribution to journalArticle

Chung, Christopher P. ; Kuehl, Thomas J. ; Spoonts, Kimberly M. ; Martins, Danilo A. ; Larsen, Wilma I. ; Yandell, Paul M. ; Shull, Bobby L. / Lack of preoperative predictors of the immediate return of postoperative bladder emptying after uterosacral ligament suspension. In: Southern medical journal. 2013 ; Vol. 106, No. 4. pp. 267-269.
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AU - Larsen, Wilma I.

AU - Yandell, Paul M.

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AB - OBJECTIVES: To determine whether preoperative postvoid residual volume (PVR), pelvic organ prolapse quantification (POPQ) stage, patient characteristics, or concurrent operations are predictors of immediate postoperative bladder emptying after uterosacral ligament suspension (USLS). METHODS: A review of patients undergoing USLS in 2008 and 2009 was performed. The factors analyzed included patient age, body mass index, parity, preoperative PVR, POPQ stage, concurrent anterior repair, posterior repair, hysterectomy and/or sling procedures, and postoperative voiding trial status. RESULTS: During the study interval, 151 patients underwent USLS with various combinations of concurrent procedures. The mean preoperative PVR was 90 mL. Seventy-five patients (50%) passed the postoperative voiding trial on postoperative day 1. Patients who passed the postoperative voiding trial and those who failed had similar average preoperative PVR (P = 0.94), similar age (P = 0.14), body mass index (P = 0.45), parity (P = 0.82), and preoperative POPQ stage (P = 0.80). There was no difference (P ≥ 0.14) among concurrent surgical procedures in the proportion of patients who passed the postoperative voiding trial based on univariate analyses. CONCLUSIONS: In our cohort of patients, preoperative PVR, POPQ stage, and other patient characteristics were not predictors of immediate postoperative bladder emptying after USLS. Postoperative voiding function is one of the most unpredictable aspects of pelvic reconstructive surgery.

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