E-Posters-10059

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.

Meta Tag

Concept Pelvic Organ Prolapse Surgery

Concept Postvoid Residual Volume

Concept Preoperative Elevated PVR

Concept Voiding Outcome

Concept Age

Keywords

post-void residual urine volume

pelvic organ prolapse

surgery

resolution rate

risk factors

age

bladder capacity

hysterectomy

urinary tract infections

urinary retention

Pelvic Organ Prolapse Surgery

Postvoid Residual Volume

Preoperative Elevated PVR

Voiding Outcome

Age