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Postoperative Pain and Urinary Retention After Vaginal Reconstructive Surgery
Menaka Yadav1, Kunal Patel, Mark A Turrentine
1From the Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, TX.
Female Pelvic Medicine & Reconstructive Surgery
|February 23, 2021
Summary
High prevoiding pain after pelvic reconstructive surgery is linked to urinary retention. Managing pain may improve voiding outcomes for patients post-surgery.
Area of Science:
- Urogynecology
- Pelvic Reconstructive Surgery
- Postoperative Care
Background:
- Urinary retention is a common complication following urogynecologic procedures.
- Assessing factors influencing postoperative voiding is crucial for patient recovery.
Purpose of the Study:
- To investigate the association between immediate prevoiding pain levels and the ability to void after vaginal pelvic reconstructive surgery.
- To determine if prevoiding pain is a predictor of postoperative urinary retention.
Main Methods:
- Retrospective cohort study of 458 women undergoing urogynecologic procedures.
- Pain assessed using a visual analog scale (VAS) before voiding trials.
- Logistic regression analysis to identify predictors of postoperative urinary retention.
Main Results:
- 21% of patients experienced urinary retention.
- Women with urinary retention reported higher mean prevoiding pain (25 mm VAS) compared to those without (12 mm VAS).
- Prevoiding pain score, age, and anterior colporrhaphy were significant predictors of urinary retention.
Conclusions:
- Elevated prevoiding pain is significantly associated with increased rates of postoperative urinary retention.
- Pain management strategies may be important for improving voiding function after pelvic reconstructive surgery.
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