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Voiding Dysfunction in Patients With Advanced Pelvic Organ Prolapse and Bladder Outlet Obstruction Following Pelvic Reconstructive Surgery: Urodynamic Profile and Predictive Risk Factors.
- Source :
- Journal of Minimally Invasive Gynecology; Feb2024, Vol. 31 Issue 2, p102-109, 8p
- Publication Year :
- 2024
-
Abstract
- To determine the outcome of voiding function 1 year after pelvic reconstructive surgery (PRS) in women with bladder outlet obstruction (BOO). Retrospective cohort study. Tertiary referral hospital. A total of 1894 women underwent PRS for advanced pelvic organ prolapse (POP) stages 3 to 4 with urodynamic findings of BOO. PRS. The primary outcome measured was the resumption of normal voiding function, defined clinically with multichannel urodynamic testing at 1 year postoperatively. The secondary outcomes were to identify the different risk factors for persistence voiding dysfunction (VD) 1 year after PRS. A total of 431 women with Pelvic Organ Prolapse Quantification stages 3 and 4, urodynamic study of maximum urinary flow rate ≤15 mL/s, and detrusor pressure at maximum flow ≥20 cm H 2 O were included. Resumption of normal voiding function was found in 91% (n = 392 of 431), whereas 9% (n = 39 of 431) remained to have VD 1 year postoperatively. Those with persistent VD, 20.5% (n = 8 of 39) remained having urodynamic diagnosis of BOO. Univariate and multivariate logistic regression revealed factors associated with postoperative VD were pre-operative maximal cystometric capacity ≥500 mL and postvoid residual volume ≥200 mL. VD may persist in women with BOO after PRS, particularly in those with preoperative maximal cystometric capacity of >500 mL and postvoid residual volume >200 mL. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 15534650
- Volume :
- 31
- Issue :
- 2
- Database :
- Supplemental Index
- Journal :
- Journal of Minimally Invasive Gynecology
- Publication Type :
- Academic Journal
- Accession number :
- 175007280
- Full Text :
- https://doi.org/10.1016/j.jmig.2023.11.003