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Updated: Oct 31, 2025
03:49
Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse POP Quantification System
Published on: September 20, 2018
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Risk factors for postoperative voiding dysfunction following surgery for pelvic organ prolapse
Vandna Verma1, Kristina Savickaite2, Smita Rajshekhar3
1Department of Urogynecology, Cambridge University Hospital NHS Foundation Trust, Cambridge Biomedical Campus, Hills Road, Cambridge CB2 0QQ, United Kingdom.
Summary
Postoperative voiding dysfunction after pelvic organ prolapse surgery is common. Key risk factors include advanced prolapse, comorbidities, certain medications, specific surgical techniques, and opioid use, aiding targeted patient counseling.
Area of Science:
- Urology
- Gynecology
- Surgical Outcomes Research
Background:
- Short-term postoperative voiding dysfunction (POVD) is a frequent complication following pelvic organ prolapse (POP) surgery.
- POVD increases catheter use, risks catheter-associated urinary tract infections (CAUTIs), and elevates treatment costs.
Purpose of the Study:
- To identify specific risk factors associated with voiding dysfunction after POP surgery.
- To inform targeted management and counseling strategies for at-risk patients.
Main Methods:
- Retrospective case-control study in a UK tertiary center.
- Inclusion of patients who failed a trial without catheter (TWOC) post-POP surgery (cases) and those who passed TWOC (controls).
- Logistic regression analysis to determine significant risk factors.
Main Results:
- 15% incidence of POVD observed; no long-term issues reported.
- Five significant risk factors identified: advanced POP, comorbidities, preoperative anticholinergics/antidepressants, sacrospinous hysteropexy/colpopexy, and postoperative opioid use.
- Odds ratios ranged from 2.654 to 4.583 for identified risk factors.
Conclusions:
- Identification of five key risk factors allows for better prediction of POVD.
- This enables proactive counseling and tailored management plans for women undergoing POP surgery.
- Early recognition of at-risk individuals can potentially reduce complications and healthcare burden.
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