Incidence of PostOperative Urinary Retention after Pelvic Organ Prolapse Reconstruction

Abstract

Abstract
 Objective: To determine the incidence of post-operative urinary retention
 after pelvic organ prolapse reconstruction and associated
 factors.
 
 Method: This was a prospective cohort study conducted in Dr. Cipto
 Mangunkusumo and another associate hospital. We recruited women
 planned for pelvic organ prolapse reconstruction from April
 2013 to April 2015. Inclusion and exclusion criteria were women
 with pelvic organ prolapse (2nd, 3rd and 4th degree) without prior
 urinary retention, drugs affecting bladder function, and history of
 bladder injury. After surgery, urinary catheter was applied for 24
 hours. Six hours apart from urinary catheter released, residual urine
 was measured. Urinary retention was defined as residual urine more
 than 100 ml.
 
 Result: Of 200 subjects, 59 of them (29.5%) classified as having urinary
 retention. No association found between age, body mass index
 (BMI), degree of prolapse, degree of cystocele and urinary tract infection
 toward urinary retention. Total vagina hysterectomy + anterior
 colporaphy + colpoperineoraphy + sacrospinous fixation and reconstruction
 duration more than 130 minutes were associated with
 urinary retention (relative risk (RR) 3.66; 95% CI 2.91-4.60; p