E-Posters-Predictive Factors of Short-term Catheterization Postoperatively after Pelvic Reconstructive Surgery

Predictive Factors of Short-term Catheterization Postoperatively after Pelvic Reconstructive Surgery - Sarah Samuel Boyd, MD

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This study aimed to identify the predictive factors for short-term catheterization following pelvic reconstructive surgery. The study evaluated 63 women who failed postoperative voiding trials and compared them to 30 women who passed. The rate of voiding trial failure was 23%. The study found that women requiring a catheter were older, more likely to have prolapse stage ≥3, and had fewer preoperative symptoms of stress urinary incontinence (SUI). The catheter group also underwent more vaginal hysterectomies, vaginal suspension procedures, anterior repairs, and posterior repairs. Logistic regression analysis showed that age and the route of hysterectomy were predictive of voiding trial failure.<br /><br />The study concluded that older patients, those undergoing hysterectomy or vaginal repairs, should be counseled on the increased risk of voiding trial failure. Preoperative urodynamic parameters should not be used for counseling, and concomitant mid-urethral sling surgery does not increase failure rates.<br /><br />The study was conducted as a nested cohort study within a larger prospective trial and included women who failed inpatient voiding trials following surgery for pelvic organ prolapse (POP) with or without surgery for SUI. The women were randomized to receive either a plug-unplug catheter or continuous drainage catheter. The study evaluated various clinical characteristics, urodynamic values, surgical procedures, and postoperative characteristics to determine their association with voiding trial failure.<br /><br />Limitations of the study include a relatively small sample size and the exclusion of certain patients, such as those with planned postoperative catheter use or specific urological conditions. The study recommended further research on predicting voiding trial failure after pelvic reconstructive surgery.

Keywords

predictive factors

short-term catheterization

pelvic reconstructive surgery

voiding trial failure

prolapse stage

vaginal hysterectomies

anterior repairs

posterior repairs

urodynamic values

further research