E-Posters-10059

10059_Propst
Pdf Summary
This study aimed to evaluate the rate of resolution of elevated post-void residual urine volume (PVR) in patients undergoing surgery for pelvic organ prolapse (POP) and to identify risk factors for elevated preoperative PVR and persistently elevated postoperative PVR. A total of 100 women who underwent pelvic reconstructive surgery for POP were included in the study.<br /><br />The results showed that there was a 100% postoperative resolution of elevated PVR for all women undergoing surgery for POP. The only statistically significant predictor of resolution or persistence of elevated PVR was age. Other variables, such as body mass index, bladder capacity, parity, mode of delivery, hysterectomy, diabetes, menopausal status, hormone replacement therapy, history of urinary tract infections, and history of incontinence or prolapse surgery, were not found to be associated with elevated PVR.<br /><br />The study also found that the distribution of the number of outpatient trial of void (TOV) tests did not differ between the normal PVR and elevated PVR cohorts. Only one patient in each cohort had persistently elevated PVR postoperatively and learned to perform clean intermittent self-catheterization. In both cases, PVR normalized within eleven days of Foley catheter removal.<br /><br />Based on these findings, the authors concluded that women with non-neurogenic elevated PVR can be reassured that bladder emptying is likely to improve after surgical repair of POP. Although they may need to use a catheter in the postoperative period, long-term urinary retention is unlikely.<br /><br />In summary, this study found that pelvic reconstructive surgery for POP resulted in 100% resolution of elevated PVR and that age was the only significant predictor of resolution or persistence of elevated PVR. The findings provide valuable information for healthcare providers when counseling patients with non-neurogenic elevated PVR undergoing surgery for POP.
Keywords
post-void residual urine volume
pelvic organ prolapse
surgery
resolution rate
risk factors
age
bladder capacity
hysterectomy
urinary tract infections
urinary retention