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Poster 113
SAME DAY UROGYNECOLOGY SURGERY: CAN URODYNAMICS PREDICT ACUTE POSTOPERATIVE URINARY RETENTION?

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Can Urodynamics predict acute postoperative urinary retention?
Alas A, Hildago R, Devakumar H, Espaillat-Rijo L, Davila GW, Hurtado E
Section of Urogynecology & Reconstructive Pelvic Surgery, Cleveland Clinic Florida
 

Introduction

•There is a 24% acute postoperative urinary retention (PUR) rate after inpatient pelvic floor surgery1
•There is paucity of data on whether urodynamic (UDS) parameters can be used as predictive factors for PUR after same day vaginal surgery
 
Speicific aims

Primary objective

• Identify UDS findings that could be predictors for PUR after vaginal prolapse and incontinence surgery requiring discharge home with a Foley catheter.
 
Methods
•Retrospective review of prospective urogynecology database
•Inclusion: all ambulatory pelvic organ prolapse and incontinence surgeries performed in 2014.

 •Exclusion: robotic, laparoscopic, or abdominal surgery, required an overnight stay in the hospital, or prolonged catheterization.

•All subjects underwent preoperative UDS
• Uroflow, cystometrogram, pressure flow, leak point pressures, and electromyography.
•A standardized voiding trial was performed in the recovery room
•Trial initiated once subject able to ambulate
•Bladder was filled with 300 ml of saline
•Subject given 2 hours to void
•Passed trial: voided ≥ 66% of total volume, with ≤ 33% remaining on a bladder ultrasound
• Statistics included chi-squared tests for categorical data, and student t-test for continuous data.
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