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Related Experiment Videos

Predicting postoperative voiding efficiency after operation for incontinence and prolapse.

Steven Kleeman1, Steven Goldwasser, Brett Vassallo

  • 1Division of Urogynecology and Reconstructive Pelvic Surgery, Good Samaritan Hospital, Cincinnati, Ohio 45220, USA. Steven_Kleeman@trihealth.com

American Journal of Obstetrics and Gynecology
|July 13, 2002
PubMed
Summary

A simple bedside test accurately predicts voiding efficiency after incontinence and prolapse surgery. A postvoid residual volume of 32% or less indicates successful voiding, minimizing the need for further catheterization.

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Area of Science:

  • Urology
  • Gynecology

Background:

  • Urinary incontinence and pelvic organ prolapse are common conditions affecting women.
  • Surgical interventions are frequently employed to treat these conditions.
  • Assessing postoperative voiding efficiency is crucial for successful recovery.

Purpose of the Study:

  • To identify a specific postoperative postvoid residual (PVR) volume that reliably predicts successful voiding after surgery for incontinence and prolapse.
  • To establish a simple bedside test for assessing voiding efficiency.

Main Methods:

  • Ninety-nine patients undergoing surgery for incontinence or prolapse were included.
  • Bladder filling and spontaneous voiding were assessed using a Foley catheter and a measured collection device.
  • Postvoid residual (PVR) was calculated, and patients with PVR >50% repeated the test weekly until PVR was ≤50% or intermittent self-catheterization was initiated.

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Main Results:

  • Ninety patients completed the follow-up.
  • The overall failure rate (requiring catheter reinsertion) was 7.8%.
  • No patient with a PVR of ≤32% required catheter reinsertion.

Conclusions:

  • A PVR of ≤32% reliably predicts successful voiding after surgery.
  • The bedside test demonstrated high predictive accuracy for voiding efficiency (92% for ≥50% voided, 100% for ≥68% voided).
  • This simple test can effectively guide postoperative management and identify patients needing further intervention.