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Postoperative Urinary Retention.

Colleen D McDermott1, Elena Tunitsky-Bitton2, Omar F Dueñas-Garcia3

  • 1From the Mount Sinai Hospital, University of Toronto, Toronto, Canada.

Urogynecology (Philadelphia, Pa.)
|September 11, 2023
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Summary
This summary is machine-generated.

This consensus statement addresses postoperative urinary retention (POUR) management in women, offering expert guidance on its incidence, contributing factors, and treatment strategies. It provides evidence-based recommendations for clinical practice.

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Area of Science:

  • Urogynecology
  • Surgical Patient Management

Background:

  • Postoperative urinary retention (POUR) is a common complication following gynecologic surgery.
  • Standardized management guidelines for POUR are lacking.

Purpose of the Study:

  • To establish a clinical consensus statement on the management of postoperative urinary retention (POUR) within six weeks of surgery.
  • To provide evidence-based recommendations for POUR management.

Main Methods:

  • A modified Delphi process was employed by the American Urogynecologic Society's POUR writing group.
  • Statements were developed from a structured literature search and assessed for expert consensus.
  • 37 statements were evaluated across six key categories relevant to POUR.

Main Results:

  • A consensus was reached on 34 out of 37 statements regarding POUR management.
  • Key areas assessed included POUR incidence, medication use, patient and surgical factors, urodynamic testing, and voiding trials.
  • Three statements did not achieve consensus and were omitted from the final guidelines.

Conclusions:

  • The consensus statement provides a framework for managing postoperative urinary retention (POUR).
  • These recommendations aim to standardize care and improve outcomes for patients experiencing POUR.
  • The findings support evidence-based clinical decision-making in urogynecologic patient care.