E-Posters-Short-term Voiding Patterns after Vaginal Hysterectomy and Pelvic Floor Repair

Short-term Voiding Patterns after Vaginal Hysterectomy and Pelvic Floor Repair - Poh Ting Lim, MBBS, KK

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A study was conducted to determine the duration of urinary catheterization and hospital length of stay for patients who underwent vaginal hysterectomy (VH) with pelvic floor repair (PFR) with or without the application of transvaginal mesh (TVM) and/or mid-urethral sling (MUS). The study included 238 women who underwent VH with PFR at a single urogynecology unit in Singapore. The patients were divided into four groups based on the presence of concomitant implants. <br /><br />The results showed that patients undergoing VH PFR without implants had a shorter duration of catheterization compared to those with concomitant implants. Patients with only MUS had a shorter duration of catheterization compared to patients with only TVM. Patients with a single implant had a significantly shorter duration of catheterization compared to those with two implants.<br /><br />In terms of pre-operative urinary symptoms, approximately 1 in 10 patients experienced short-term voiding difficulties requiring prolonged urinary catheterization. Concomitant TVM and/or MUS increased the risk of a longer post-operative duration of urinary catheterization.<br /><br />Overall, 31 patients failed at least one voiding trial during their hospital admission, and 8 of them had pre-operative voiding difficulties. The study concluded that patients should be counseled about the increased risks of post-operative voiding difficulties and repeated bladder catheterization when opting for concomitant surgery. Patients with risk factors for post-operative voiding dysfunction may consider performing surgeries on separate occasions.

Keywords

urinary catheterization

hospital length of stay

vaginal hysterectomy

pelvic floor repair

transvaginal mesh

mid-urethral sling

concomitant implants

voiding difficulties

post-operative duration

risk factors