scholarly journals Incidence of PostOperative Urinary Retention after Pelvic Organ Prolapse Reconstruction

2017 ◽  
pp. 147-152
Author(s):  
Elisia Elisia ◽  
Tyas Priyatini
Keyword(s):  
Pelvic Organ Prolapse ◽  
Urinary Retention ◽  
Urinary Catheter ◽  
Pelvic Organ ◽  
Bladder Function ◽  
Bladder Injury ◽  
Sacrospinous Fixation ◽  
Residual Urine ◽  
Associate Hospital ◽  
History Of

Abstract Objective: To determine the incidence of post-operative urinary retention after pelvic organ prolapse reconstruction and associated factors. Method: This was a prospective cohort study conducted in Dr. Cipto Mangunkusumo and another associate hospital. We recruited women planned for pelvic organ prolapse reconstruction from April 2013 to April 2015. Inclusion and exclusion criteria were women with pelvic organ prolapse (2nd, 3rd and 4th degree) without prior urinary retention, drugs affecting bladder function, and history of bladder injury. After surgery, urinary catheter was applied for 24 hours. Six hours apart from urinary catheter released, residual urine was measured. Urinary retention was defined as residual urine more than 100 ml. Result: Of 200 subjects, 59 of them (29.5%) classified as having urinary retention. No association found between age, body mass index (BMI), degree of prolapse, degree of cystocele and urinary tract infection toward urinary retention. Total vagina hysterectomy + anterior colporaphy + colpoperineoraphy + sacrospinous fixation and reconstruction duration more than 130 minutes were associated with urinary retention (relative risk (RR) 3.66; 95% CI 2.91-4.60; p

FRII-07 THE HISTORY OF PELVIC ORGAN PROLAPSE FROM ANTIQUITY TO PRESENT DAY

2015 ◽  
Vol 193 (4S) ◽  
Author(s):  
John Mattimore ◽  
Philippa Cheetham ◽  
Aaron Katz
Keyword(s):  
Pelvic Organ Prolapse ◽  
Pelvic Organ ◽  
History Of

History of cervical insufficiency increases the risk of pelvic organ prolapse and stress urinary incontinence in parous women

Maturitas ◽  
2018 ◽  
Vol 107 ◽  
pp. 63-67 ◽  
Author(s):  
David Sheyn ◽  
Kateena L. Addae-Konaedu ◽  
Alison M. Bauer ◽  
Konyinsola I. Dawodu ◽  
David N. Hackney ◽  
...  
Keyword(s):  
Urinary Incontinence ◽  
Pelvic Organ Prolapse ◽  
Stress Urinary Incontinence ◽  
Pelvic Organ ◽  
Cervical Insufficiency ◽  
History Of

Outcomes of observation as therapy for pelvic organ prolapse: A study in the natural history of pelvic organ prolapse

2012 ◽  
Vol 32 (4) ◽  
pp. 383-386 ◽  
Author(s):  
Alienor S. Gilchrist ◽  
William Campbell ◽  
Hannah Steele ◽  
Hema Brazell ◽  
Jonathon Foote ◽  
...  
Keyword(s):  
Pelvic Organ Prolapse ◽  
Natural History ◽  
Pelvic Organ ◽  
History Of

Recurrent Pelvic Organ Prolapse in a Patient With History of Bladder Exstrophy

2012 ◽  
Vol 18 (1) ◽  
pp. 61-63 ◽  
Author(s):  
Yuen-Ting Diana Kwong ◽  
Leise R. Knoepp ◽  
Edward James Wright ◽  
Chi Chiung Grace Chen
Keyword(s):  
Pelvic Organ Prolapse ◽  
Bladder Exstrophy ◽  
Pelvic Organ ◽  
Recurrent Pelvic Organ Prolapse ◽  
History Of

scholarly journals Prevalence and clinical predictors for early post-operative urinary retention in patients undergoing pelvic reconstructive surgeries: a prospective cohort study

2018 ◽  
Vol 7 (4) ◽  
pp. 1452
Author(s):  
Annie P. Vijjeswarapu ◽  
Vaibhav Londhe ◽  
Mahasampath Gowri ◽  
Aruna Kekre ◽  
Nitin Kekre
Keyword(s):  
Cohort Study ◽  
Pelvic Organ Prolapse ◽  
Urinary Retention ◽  
Prospective Cohort Study ◽  
Reconstructive Surgery ◽  
Prospective Cohort ◽  
Pelvic Organ ◽  
P Value ◽  
Pelvic Reconstructive Surgery ◽  
Clinical Predictors

Background: Pelvic organ prolapse (POP) has a significant impact on quality of life. Post-operative voiding dysfunction is seen in 2.5 to 24% of patients following pelvic reconstructive surgery. Risk factors like age of the patient, size of the genital hiatus and stage of prolapse are known to be associated with early post-operative voiding disorders.Methods: This is a prospective cohort study done in Christian Medical College, Vellore over one year. Patients with stage II to IV pelvic organ prolapse who underwent pelvic reconstructive surgery were observed post operatively for covert and overt urinary retention. Inability to void accompanied by pain and discomfort is defined as overt retention. Early post-operative urinary retention (POUR) is retention of urine in the first 72 hours postoperatively. Covert retention is defined as a non-painful bladder with chronic high post void residue. Chi- square test or Fisher’s exact test was used to assess the association between the clinical predictors and early post-operative urinary retention in univariate analysis.Results: In this study, 75 patients were recruited. Nine patients had POUR. Among the patients who had post-operative urinary retention, 77.78% had stage III pelvic organ prolapse (n=7). P value was 0.042. The prevalence of early POUR after pelvic reconstructive surgery was 12.85 % (n=9). A 55.55% had covert retention (n=5) and 44.44% patients had overt retention (n=4).Conclusions: The prevalence of early POUR after pelvic reconstructive surgery was 12.85%. Stage of the prolapse was an independent predictor for early postoperative urinary retention.

scholarly journals Seropositive PERM associated with leucocytoclastic vasculitis

2015 ◽  
Vol 42 (S1) ◽  
pp. S35-S36
Author(s):  
BK Steven
Keyword(s):  
Urinary Retention ◽  
Glycine Receptor ◽  
Maculopapular Rash ◽  
Bladder Function ◽  
K Channel ◽  
Ivig Treatment ◽  
Acid Decarboxylase ◽  
External Urethral Sphincter ◽  
Leucocytoclastic Vasculitis ◽  
History Of

Background: Progressive encephalomyelitis, rigidity, and myoclonus (PERM) is a variant stiff-person plus syndrome consisting of brainstem and pyrimidal dysfunction, muscular rigidity, stimulus-evoked spasms, and dysautonomia. Continuous motor-unit activity from ectopic anterior horn cell discharges underlies the myotomal hyperactivity. Case Report: A 51-year-old man with an 8-year history of “spasmodic” mid and low back pain presented with increasing stiffness, hyperekplexia-induced opisthotonus-like posturing, urinary retention, long-tract motor signs, and diplopia. He had a recent history of biopsy-confirmed leucocytoclastic vasculitis-associated diffuse maculopapular rash. He responded well to IVIg treatment manifested by improved 1) gait fluidity, 2) bowel and bladder function 3) tolerance to startle, and 4) vision. Results: Serological testing revealed positive anti-glycine receptor antibodies. Anti-glutamic acid decarboxylase and voltage-gated K+-channel antibodies were absent. A chest CT was unremarkable. Conclusions: This is the second case of seropositive PERM in Canada and the first associated with leucocytoclastic vasculitis. Pathologic findings in PERM reveal perivascular lymphocytic cuffing in the rhombencephalon and spinal cord. Glycine receptor localization correlates with neurologic dysfunction. Mid-brain involvement may underlie the autonomic dysfunction but evidence of direct glycinergic inhibition of the external urethral sphincter in Onuf’s nucleus may be responsible for urinary retention.

scholarly journals Bladder rupture due to urogenital tract trauma caused by ox horn injury in a patient with pelvic organ prolapse: a case report

2020 ◽  
Vol 14 (1) ◽  
Author(s):  
Zelalem Mengistu ◽  
Mezigebu Molla
Keyword(s):  
Pelvic Organ Prolapse ◽  
Wound Care ◽  
Pelvic Organ ◽  
Late Presentation ◽  
Northwest Ethiopia ◽  
Urogenital Tract ◽  
Bladder Rupture ◽  
Sacrospinous Fixation ◽  
Case Presentation ◽  
Increased Risk

Abstract Introduction Genitourinary tract trauma caused by ox horn injury in the presence of pelvic organ prolapse (POP) is an extremely rare phenomenon and associated with devastating morbidity. Case presentation A 50-year-old multiparous postmenopausal woman from rural northwest Ethiopia presented with the primary complaint of urinary incontinence 6 days after she suffered ox horn injury to her prolapsed genitalia. She had stage 3 pelvic organ prolapse with the leading point being the cervix. The anterior vaginal and posterior bladder walls were disrupted with visible draining of the left ureter. The wound was dirty and edematous with whitish discharge. She was admitted to the urogynecology ward and provided with wound care until the infection subsided. Apical prolapse suspension was performed using right sacrospinous fixation, and bladder repair was carried out 6 weeks following the prolapse suspension. She recovered well and was continent when discharged. Conclusion Ox horn injury involving the female lower urogenital tract in the presence of POP is extremely rare. Late presentation after sustaining injury is associated with increased risk of morbidity and long hospital stay, and treatment requires multistage surgery.

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