E-Posters-10082

10082_Dougher

Pdf Summary

Vaginal packing is a common practice after pelvic surgery, but its use lacks evidence-based support. This study aimed to determine if vaginal packing increases the risk of immediate postoperative voiding dysfunction. A retrospective chart review was conducted on patients who underwent pelvic surgery between January 2011 and October 2015. Data from hospital operative records were analyzed.<br /><br />A total of 461 patients met the inclusion criteria, with 148 having vaginal packing and 313 without. Immediate postoperative voiding dysfunction was present in 8% of all patients, with 6% without packing and 11% with packing. There was no significant association between using vaginal packing and passing the voiding trial.<br /><br />Characteristics of patients with vaginal packing were significant for advanced age, postmenopausal status, higher pre-operative hemoglobin and hematocrit values, and lower uterine weight. Women with documented prolapse equal to or greater than Stage 2 were more likely to have immediate postoperative voiding dysfunction if vaginal packing was used.<br /><br />In conclusion, vaginal packing may increase the risk of postoperative voiding dysfunction in women undergoing pelvic surgery. Women with pelvic organ prolapse have an increased risk of postoperative voiding dysfunction if vaginal packing is placed. The study suggests that vaginal packing may lead to prolonged hospital discharge and morbidity after pelvic organ prolapse surgery.<br /><br />Overall, this study provides insight into the potential risks and associations of using vaginal packing after pelvic surgery. However, further research is needed to validate these findings and determine the optimal use of vaginal packing in clinical practice.

Keywords

vaginal packing

pelvic surgery

evidence-based support

postoperative voiding dysfunction

retrospective chart review

hospital operative records

advanced age

postmenopausal status

pre-operative hemoglobin

hematocrit values