Predictors of Urinary Retention After Vesicovaginal Fistula Surgery: A Retrospective Case-Control Study.
Adult
Case-Control Studies
Duration of Therapy
Female
Gynecologic Surgical Procedures
/ adverse effects
Humans
Malawi
/ epidemiology
Postoperative Complications
/ diagnosis
Prognosis
Reproductive History
Risk Assessment
Risk Factors
Urinary Bladder
/ surgery
Urinary Catheterization
/ methods
Urinary Retention
/ diagnosis
Vesicovaginal Fistula
/ epidemiology
Wound Closure Techniques
/ adverse effects
Journal
Female pelvic medicine & reconstructive surgery
ISSN: 2154-4212
Titre abrégé: Female Pelvic Med Reconstr Surg
Pays: United States
ID NLM: 101528690
Informations de publication
Date de publication:
01 12 2020
01 12 2020
Historique:
pubmed:
27
1
2019
medline:
18
11
2021
entrez:
26
1
2019
Statut:
ppublish
Résumé
The objective of this study is to determine the predictors for urinary retention after vesicovaginal fistula surgery. This was a retrospective case-control study of women who underwent vesicovaginal fistula repair between January 2014 and December 2017 at the Fistula Care Centre in Lilongwe, Malawi. Cases were defined as patients with documented urinary retention, defined as a postvoid residual that is 50% greater than the total void of at least 100 mL. The cases and controls were matched by the 3 components of the Goh classification system in a ratio of 1:5. Univariate analysis was used to detect differences between demographic, clinical characteristics, and operative techniques between cases and control. Logistic regression analysis was performed for estimation of odds ratios (ORs). There were no statistically significant differences between the 40 cases and 187 controls, when comparing age, gravidity, parity, body mass index, and length of postoperative catheterization. The median amount of postvoid residual noted at the time of diagnosis was 240 mL (range, 55-927 mL). Odds for urinary retention was 3 times higher among those with vertical closure than patients with horizontal closure of the bladder (OR, 2.91; 95% confidence interval, 1.35-6.20). Patients with prior fistula repairs were significantly less likely to develop urinary retention compared to those receiving surgery for the first time (OR, 0.27; 95% confidence interval, 0.10-0.67). Vertical closure of the bladder and patients without a history of prior fistula repairs are predictors for developing urinary retention after fistula repair surgery.
Identifiants
pubmed: 30681420
pii: 01436319-202012000-00004
doi: 10.1097/SPV.0000000000000694
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
726-730Informations de copyright
Copyright © 2019 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
The authors have declared they have no conflicts of interest.
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