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Postoperative urinary retention following vaginal mesh procedures for the treatment of pelvic organ prolapse

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Abstract

Introduction and hypothesis

The objective of the study was to assess vaginal mesh procedures and patient characteristics that are associated with postoperative urinary retention (PUR) following pelvic reconstructive surgery.

Methods

The charts of 142 patients who underwent transvaginal reconstructive surgery with mesh were included in the analysis. Primary outcome was the incidence of PUR following surgery with mesh. Patients were grouped according to discharge from the hospital with or without a catheter based on a standardized voiding trial.

Results

Forty-eight patients (34%) developed PUR after surgery. Of those, 30 patients (62.5%) had a combined anterior and posterior repair (p = 0.033). Mean preoperative anterior stage prolapse for patients with PUR compared with no PUR was 2.31 vs. 1.80 (p = 0.002). There was a greater association of PUR among patients with concomitant retropubic slings compared with transobturator slings (OR = 3.6, 95% confidence interval = 1.3–9.8).

Conclusions

A higher preoperative anterior stage prolapse, combined anterior and posterior compartment repairs, and retropubic sling procedures appear to be associated with PUR.

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Abbreviations

CI:

Confidence interval

CIC:

Clean intermittent catheterization

EBL:

Estimated blood loss

DO:

Detrusor overactivity

PFS:

Pelvic floor surgery

POP:

Pelvic organ prolapse

POP-Q:

Pelvic organ prolapse quantification

PUR:

Postoperative urinary retention

PVR:

Post-void residual volume

QOL:

Quality of life

RP:

Retropubic sling

SLK:

Surgical lift kit

SPSS:

Statistical Package for the Social Sciences

SUI:

Stress urinary incontinence

TO:

Transobturator sling

TVT:

Tension-free vaginal tape

TVT-O:

Tension-free vaginal tape obturator

UCP:

Urethral closure pressure

UTI:

Urinary tract infection

VLPP:

Valsalva leak point pressure

VT:

Voiding trial

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Acknowledgement

We thank Krystal M. Hunter, MBA for her contributions to the statistical analyses of data.

Conflicts of interest

None.

Financial support

None.

Disclaimers

Dr. Caraballo and Dr. Holzberg are consultants for Boston Scientific (Natick, MA, USA).

Author information

Authors and Affiliations

  1. Division of Pelvic Medicine and Reconstructive Surgery, Cooper University Hospital, Camden, NJ, USA

    Benjamin J. Steinberg, Deeptha N. Sastry, Adam S. Holzberg, Ricardo Caraballo & Karolynn T. Echols

  2. Division of Pelvic Medicine and Reconstructive Surgery, Winthrop University Hospital, Mineola, NY, USA

    Peter S. Finamore

  3. 6012 Piazza at Main Street, Voorhees, NJ, 08043, USA

    Benjamin J. Steinberg

Authors
  1. Benjamin J. Steinberg
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  2. Peter S. Finamore
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  3. Deeptha N. Sastry
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  4. Adam S. Holzberg
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  5. Ricardo Caraballo
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  6. Karolynn T. Echols
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Corresponding author

Correspondence to Benjamin J. Steinberg.

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Steinberg, B.J., Finamore, P.S., Sastry, D.N. et al. Postoperative urinary retention following vaginal mesh procedures for the treatment of pelvic organ prolapse. Int Urogynecol J 21, 1491–1498 (2010). https://doi.org/10.1007/s00192-010-1212-3

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  • DOI: https://doi.org/10.1007/s00192-010-1212-3

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