Evaluation and management of urinary reten-tion after pelvic floor reconstruction surgery
ZHANG Lei
LU Ye
Abstract：Urinary retention is generally defined as increased post-void residual urine volume due to im-paired ability of bladder.However,there is no standard definition of postoperative urinary retention in clinic.Compared with other pelvic surgeries,urinary incon-tinence and prolapse surgeries had the highest inci-dence of POUR.Its clinical manifestations are varied.Physical examination can touch a full bladder.Early identification of POUR is critical,retrograde testing or voluntary urination is recommended for patients before discharge.For those who develop urinary retention,continuous catheterization or clean intermittent cath-eterization(CIC)is recommended until the symptoms are relieved.Drug therapy and non-drug intervention also have some effect on urinary retention.When POUR does not resolve spontaneously,more aggressive sur-gical management may be required.
Keywords：postoperative urinary retentionpelvic floor reconstruction surgeryretrograde urination testactive urination testclean intermittent catheter-ization
Publication Date：2024-03-02
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：6( 261-266 )