지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 137 - 143 (7page)
이용수
초록· 키워드
오류제보하기
ObjectiveTo evaluate the risk factors for postoperative urinary retention in women who underwent vaginal hysterectomy for symptomatic pelvic organ prolapse.
MethodsThe medical records of 221 women who underwent vaginal hysterectomy with anterior and posterior colporrhapy were reviewed. Urinary retention after catheter removal was defined as the presence of at least one of the following three conditions: 1) failure of first voiding trial necessitating catheterization, 2) first residual urine volume after self-voiding ≥150 mL, and 3) Foley catheter re-insertion.
ResultsUrinary retention occurred in 60 women (27.1%). Multivariate and receiver operating characteristic curve analysis revealed that age (>63 years) and early postoperative day of catheter removal (day 1) was independent predictor for postoperative urinary retention. The incidence of urinary retention was significantly higher in women who removed indwelling catheter at day 1 (35.2%) than those at day 2 (12.0%, P=0.024), or day 3 (21.3%, P=0.044), but was similar to those at day 4 (25.0%, P=0.420). In women ≤63 years, urinary retention rate was not associated with the time of catheter removal after surgery; however, in women >63 years, the rate was significantly higher in day 1 removal group than day 2 to 4 removal group.
ConclusionAge and postoperative day of catheter removal appear to be associated with postoperative urinary retention in women undergoing vaginal hysterectomy for pelvic organ prolapse. Keeping urinary catheter in situ at least for one day after vaginal prolapse surgery could be recommended, especially, in women older than 63 years.
목차
등록된 정보가 없습니다.
참고문헌 (17)
참고문헌 신청
Fernandez RS / 2006 / Duration of short-term indwelling catheters : a systematic review of the evidence / J Wound Ostomy Continence Nurs 33:145~153
Ghezzi F / 2011 / Surgical treatment for pelvic floor disorders in women 75 years or older : a single-center experience / Menopause 18:314~318
Hakvoort RA / 2009 / Predicting short-term urinary retention after vaginal prolapse surgery / Neurourol Urodyn 28:225~228
Liang CC / 2009 / Postoperative urinary outcomes in catheterized and non-catheterized patients undergoing laparoscopic-assisted vaginal hysterectomy: a randomized controlled trial / Int Urogynecol J Pelvic Floor Dysfunct 20:295~300
Keita H / 2005 / Predictive factors of early postoperative urinary retention in the postanesthesia care unit / Anesth Analg 101:592~596
Ghezzi F / 2011 / Surgical treatment for pelvic floor disorders in women 75 years or older : a single-center experience / Menopause 18:314~318
Hakvoort RA / 2009 / Predicting short-term urinary retention after vaginal prolapse surgery / Neurourol Urodyn 28:225~228
Liang CC / 2009 / Postoperative urinary outcomes in catheterized and non-catheterized patients undergoing laparoscopic-assisted vaginal hysterectomy: a randomized controlled trial / Int Urogynecol J Pelvic Floor Dysfunct 20:295~300
Keita H / 2005 / Predictive factors of early postoperative urinary retention in the postanesthesia care unit / Anesth Analg 101:592~596
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