POSTOPERATIVE URINARY RETENTION AND DURATION OF CATHETERIZATION AFTER SURGERY FOR PELVIC ORGAN PROLAPSE: A 5-YEAR EXPERIENCE

Authors

  • Saima Aijaz Department of Gynaecology & Obstetrics, Aga Khan University Hospital, Karachi-Pakistan
  • Urooj Kashif Department of Gynaecology & Obstetrics, Aga Khan University Hospital, Karachi-Pakistan
  • Novera Ghayoor Chughtai Department of Gynaecology & Obstetrics, Aga Khan University Hospital, Karachi-Pakistan
  • Summera Malik Department of Gynaecology & Obstetrics, Aga Khan University Hospital, Karachi-Pakistan
  • Fehmida Parveen Liaquat University of Medical & Health Sciences, Karachi-Pakistan

DOI:

https://doi.org/10.55519/JAMC-01-13114

Keywords:

Catheterization, Pelvic Organ Prolapse (POP), Urinary retention

Abstract

Background: Pelvic Organ Prolapse is the descent of pelvic organs and their associated vaginal walls through the vaginal opening. Pelvic Organ prolapse (POP) is a common gynecological condition and its prevalence increases with age. Objective was to compare the postoperative urinary retention in relation to the duration of catheterization after surgery for Pelvic Organ prolapse (POP) among women. Methods: A retrospective study was conducted at the Department of OBGYN. Patients who underwent pelvic organ prolapse (POP) surgery between the years 2013 to 2017 were included in the study. Preoperative evaluation including examination under anesthesia defined type and grade of POP. Data with complete medical record was reviewed and type of surgery, blood loss, operative time, type of anesthesia, duration of catheterization and urinary retention were recorded. Data was divided into group A - retention postoperatively and group B - without urinary retention. Duration of catheterization was compared between the two groups. Results: In our study, post-operative urinary retention was significantly associated with duration of indwelling catheterization (p=0.013). Lowest rate of urinary retention was found in patients with catheterization for at least 48 hours. Upon stratification, operative time was significantly associated with postoperative urinary retention (p=0.012). Conclusion: Postoperative urinary retention is a common complication following pelvic surgery, adding to significant anxiety and patient discomfort. This study revealed optimum duration of catheterization to be 48 hours which can result in improved patient outcome.

Author Biography

Novera Ghayoor Chughtai, Department of Gynaecology & Obstetrics, Aga Khan University Hospital, Karachi-Pakistan

Correspondence:

Department of Gynecology and Obstetrics, Aga Khan University Hospital, Karachi-Pakistan

Cell: +92 321 278 6106

Email: phdali786@gmail.com

References

1. Shiotz HA. Comparison of 1 and 3 days’ transurethral foley catheterization after vaginal plastic surgery. Int Urogynecol J 1995;6:158–61.

2. Glavind K, Morup L, Madsen H, Glavind J. A prospective, randomized, controlled trial comparing 3 hour and 24-hour postoperative removal of bladder catheter and vaginal pack following vaginal prolapse surgery. Acta Obstet Gynecol Scand 2007;86(9):1122–5.

3. Hakvoort RA, Elberink R, Vollebregt A, Ploeg T, Emanuel MH. How long urinary bladder catheterization should be continued after vaginal prolapse surgery? A randomized controlled trial comparing short term versus long term catheterization after vaginal prolapse surgery. BJOG 2004;111(8):828–30.

4. Roovers R, Hakvoort M, Dijkgraaf M, Burger M, Emanuel J. Predicting short-term urinary retention after vaginal prolapse surgery. Neurourol Urodyn 2009;28(3):225–8.

5. Kamilya G, Seal SL, Mukherjee J, Bhattacharya SB, Hazra A. A randomized controlled trial comparing short versus long-term catheterization after uncomplicated vaginal prolapse surgery. Obstet Gynecol 2010;23(1):154–8.

6. Dunn TS, Shlay J, Forshner D, Colo D. Are in-dwelling catheters necessary for 24 h after hysterectomy? Am J Obstet Gynecol 2003;189(2):435–7.

7. Andersen JT, Heisterberg L, Hebjorn S. Suprapubic versus transurethral bladder drainage after colposuspension/vaginal repair. Acta Obstes Gynecol Scand 1985;64(2):139–43.

8. Vierhout ME. Prolonged catheterization after vaginal prolapse surgery. Acta Obstet Gynecol Scand 1998;77(10):997–9.

9. Phipps S, Lim YN, McClinton S, Barry C, Rane A, Dow JN. Short term urinary catheter policies following urogenital surgery in adults. Cochrane Database Syst Rev 2006;19(2):CD004374.

10. Baggish MS, Karram MM. Atlas of Pelvic Anatomy and Gynecologic Surgery, Abdominal Sacral Colpopexy and Colpohysteropexy. s.l.: Fifth Edition. Elsevier Health Sciences, 2020; p.489–502.

11. Hansen BS, Søreide E, Warland AM, Nilsen OB. Risk factors of post‐operative urinary retention in hospitalized patients. Acta Anesthesiologic Scand 2011;55(5):545–8.

12. Vijjeswarapu AP, Londhe V, Gowri M, Kekre A, Kekre N. Prevalence, and clinical predictors for early post-operative urinary retention in patients undergoing pelvic reconstructive surgeries: a prospective cohort study. Int J Reprod Contracept Obstet Gynecol 2018;7(4):1453.

13. Rajan P, Soundara Raghavan S, Sharma D. Study comparing 3 hour and 24-hour post-operative removal of bladder catheter and vaginal pack following vaginal surgery: a randomized controlled trial. BMC Womens Health 2017;17(1):78.

14. Baldini G, Bagry H, Aprikian A, Carli F, Warner DS, Warner MA. Postoperative urinary retention: anesthetic and perioperative considerations. Anesthesiologists 2009;110(5):1139–57.

15. Keita H, Diouf E, Tubach F, Brouwer T, Dahmani S, Mantz J, et al. Predictive factors of early postoperative urinary retention in the post anesthesia care unit. Anesth Analg 2005;101(2):592–6.

16. Summitt Jr RL, Stovall TG, Bran DF. Prospective comparison of indwelling bladder catheter drainage versus no catheter after vaginal hysterectomy. Am J Obstet Gynecol 1994;170(5):1815–21.

17. Sekhavat L, Farajkhoda T, Davar R. The effect of early removal of indwelling urinary catheter on postoperative urinary complications in anterior colporrhaphy surgery. Aust N Z J Obstet Gynaecol 2008;48(3):348–52.

18. Liang CC, Lee CL, Chang TC, Chang YL, Wang CJ, Soong YK. Postoperative urinary outcomes in catheterized and non-catheterized patients undergoing laparoscopic-assisted vaginal hysterectomy—a randomized controlled trial. Int Urogynecol J Pelvic Floor Dysfunct 2009;20(3):295–300.

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Published

2025-03-15

How to Cite

1.
Aijaz S, Kashif U, Chughtai NG, Malik S, Parveen F. POSTOPERATIVE URINARY RETENTION AND DURATION OF CATHETERIZATION AFTER SURGERY FOR PELVIC ORGAN PROLAPSE: A 5-YEAR EXPERIENCE. J Ayub Med Coll Abbottabad [Internet]. 2025 Mar. 15 [cited 2025 Aug. 7];37(1):59-62. Available from: https://jamc.ayubmed.edu.pk/index.php/jamc/article/view/13114