دورية أكاديمية
Nomogram to Predict Risk of Postoperative Urinary Retention in Women Undergoing Pelvic Reconstructive Surgery.
| العنوان: | Nomogram to Predict Risk of Postoperative Urinary Retention in Women Undergoing Pelvic Reconstructive Surgery. |
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| المؤلفون: | Li ALK; Division of Urogynecology, Department of Obstetrics and Gynecology, Sunnybrook Health Sciences Centre, Toronto, ON., Zajichek A; Department of Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH., Kattan MW; Department of Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH., Ji XK; Department of Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH., Lo KA; Department of Obstetrics and Gynecology, University of Calgary Foothills Medical Centre, Calgary, AB., Lee PE; Division of Urogynecology, Department of Obstetrics and Gynecology, Sunnybrook Health Sciences Centre, Toronto, ON. Electronic address: pel.lee@utoronto.ca. |
| المصدر: | Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC [J Obstet Gynaecol Can] 2020 Oct; Vol. 42 (10), pp. 1203-1210. Date of Electronic Publication: 2020 Apr 27. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: Netherlands NLM ID: 101126664 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1701-2163 (Print) Linking ISSN: 17012163 NLM ISO Abbreviation: J Obstet Gynaecol Can Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2016- : Amsterdam : Elsevier Original Publication: Toronto, Ont. : Healthcare & Financial Pub., Rogers Media, c2001- |
| مواضيع طبية MeSH: | Nomograms*, Pelvic Organ Prolapse/*surgery , Plastic Surgery Procedures/*adverse effects , Urinary Incontinence, Stress/*surgery , Urinary Retention/*etiology, Adult ; Aged ; Aged, 80 and over ; Female ; Humans ; Incidence ; Middle Aged ; Pelvic Floor/surgery ; Postoperative Complications/epidemiology ; Retrospective Studies ; Risk Assessment ; Urinary Catheterization ; Urinary Retention/epidemiology |
| مستخلص: | Objective: To develop a nomogram that determines an individual's risk of postoperative urinary retention (POUR) following pelvic floor reconstructive surgery. Methods: We performed a retrospective chart review of women who underwent reconstructive surgery for pelvic organ prolapse and/or stress urinary incontinence. Short-term POUR was defined as failure of the trial of void (post-void residual >150 mL with a void of >200 mL) on postoperative day one or the need for re-catheterization in the first 2 postoperative days. Potential pre- and intraoperative risk factors for POUR were compared between patients with and without POUR. Multivariate binary logistic regression analysis with best-subsets variable selection was used to create a predictive nomogram. Results: Most patients (275 of 332) had concomitant or combined procedures. The overall incidence of POUR was 31% (103 of 332 patients). The risk of POUR was higher for patients with high-grade anterior prolapse and those who had undergone anterior vaginal repair, vaginal hysterectomy, or a laparoscopic sling procedure. Patients who did not experience POUR tended to have fewer co-morbidities and were more likely to have undergone laparoscopic colposacropexy. Risk factors for POUR in the nomogram were diabetes, multiple medical co-morbidities, laparoscopic sling procedure, anterior vaginal repair, laparoscopic colposacropexy, and vaginal hysterectomy. The nomogram allows clinicians to calculate a patient's risk of POUR (range <10% to >80%). Conclusion: While the predictive nomogram in this study was developed using a single surgeon's case series and may not be generalizable to all surgeons, it demonstrates that the risk of POUR may be predicted based on clinical characteristics and the type of surgery performed. This kind of prediction model could help guide clinicians in preoperative patient counseling. (Copyright © 2020 The Society of Obstetricians and Gynaecologists of Canada/La Société des obstétriciens et gynécologues du Canada. Published by Elsevier Inc. All rights reserved.) |
| فهرسة مساهمة: | Keywords: nomograms; pelvic organ prolapse; urinary incontinence, stress; urinary retention |
| تواريخ الأحداث: | Date Created: 20200723 Date Completed: 20210625 Latest Revision: 20221207 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1016/j.jogc.2020.03.021 |
| PMID: | 32694072 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1701-2163 |
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| DOI: | 10.1016/j.jogc.2020.03.021 |