E-Posters-Post-Operative Acute Urinary Retention in Patients with Robotic-Assisted Laparoscopic Sacrocolpoperineopexy

Post-Operative Acute Urinary Retention in Patients with Robotic-Assisted Laparoscopic Sacrocolpoperineopexy - Michael Kee-Ming Shu, MD

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This study examines the impact of a robotic-assisted laparoscopic sacrocolpoperineopexy (SCPP) on patients undergoing a transobturator mid-urethral sling (TOT) procedure. The researchers aimed to evaluate the peri- and short-term postoperative outcomes of SCPP with TOT sling. The study is a retrospective case-control series conducted from January 2013 to January 2019.<br /><br />The results of the study indicate that patients who underwent the combined R-ASCPP and TOT sling procedure had a higher frequency and greater severity of acute urinary retention compared to those who had the TOT sling alone. The researchers propose that the additional neuropathic component from R-ASCPP pelvic dissection may contribute to the increased risk of urinary retention. Surgeons should be vigilant in monitoring patients with elevated post-void residual bladder volumes and should intervene early by using intermittent or indwelling catheterization.<br /><br />The study also compared patient demographics between the two groups and found no significant differences in age, body mass index (BMI), gravidity, parity, prior laparotomy, or prior hernia repair.<br /><br />The authors suggest that further research is needed to better understand, prevent, and treat the increased incidence of urinary retention in patients undergoing R-ASCPP with concomitant TOT sling. The proposed mechanisms for urinary retention include global autonomic disruption from extensive pelvic dissection, transection of pelvic splanchnic/autonomic nerves, and differences in surgical technique.<br /><br />Overall, this study highlights the potential complications associated with combining R-ASCPP and TOT sling procedures. Surgeons should carefully consider the risks and benefits of this combined approach and take appropriate measures to prevent and manage postoperative urinary retention.

Meta Tag

Concept Robotic-Assisted Laparoscopic Sacrocolpoperineopexy

Concept Transobturator Midurethral Sling

Concept Postoperative Urinary Retention

Concept Pelvic Organ Prolapse Repair

Concept Acute Urinary Retention

Keywords

robotic-assisted laparoscopic sacrocolpoperineopexy

SCPP

transobturator mid-urethral sling

TOT

perioperative outcomes

postoperative outcomes

acute urinary retention

neuropathic component

post-void residual bladder volumes

patient demographics

Robotic-Assisted Laparoscopic Sacrocolpoperineopexy

Transobturator Midurethral Sling

Postoperative Urinary Retention

Pelvic Organ Prolapse Repair

Acute Urinary Retention