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Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
Anterior colporrhaphy does not induce bladder outlet obstruction
M M E Lakeman1, R A Hakvoort, E P Van de Weijer
1Department of Obstetrics and Gynaecology, Academic Medical Centre, Room H4-205, PO Box 22700, 1105 DE Amsterdam, The Netherlands. m.m.lakeman@amc.uva.nl
International Urogynecology Journal
|February 9, 2012
Summary
Anterior colporrhaphy did not cause bladder outlet obstruction in most women. Postoperative urinary retention may stem from pain or psychological factors, not surgical-induced anatomical changes.
Area of Science:
- Urogynecology
- Surgical Outcomes
- Pelvic Floor Disorders
Background:
- Anterior colporrhaphy is a surgical procedure to correct pelvic organ prolapse.
- Incomplete voiding and urinary retention are potential postoperative complications.
Purpose of the Study:
- To evaluate if anterior colporrhaphy leads to incomplete voiding by causing bladder outlet obstruction.
- To investigate the urodynamic changes following anterior colporrhaphy.
Main Methods:
- Multichannel urodynamic investigation was performed before and on the first day after surgery.
- Bladder outlet obstruction was assessed using the Blaivas–Groutz voiding nomogram.
- Key parameters included maximum flow rate, detrusor pressure, and post-void residual (PVR) volume.
Main Results:
- One of seventeen women developed bladder outlet obstruction post-surgery.
- No significant differences in detrusor pressure or maximum flow rate were observed pre- and post-surgery.
- Six women had abnormal PVR volumes post-surgery, indicating varying degrees of voiding dysfunction.
Conclusions:
- Early postoperative urodynamics did not confirm anterior colporrhaphy as a cause of bladder outlet obstruction.
- Non-anatomical factors like pain and psychological stress may contribute to postoperative urinary retention.
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