Paper Information

Title: 

EVALUATION OF EFFECTIVE FACTORS CAUSING URINARY RETENTION FOLLOWING ANTERIOR COLPORRAPHY FOR TREATMENT OF STRESS URINARY INCONTINENCE (SUI)

Type: PAPER
Author(s): SHAREMI H.*
 
 *
 
Name of Seminar: CONGREH ANJOMAN UROLOGY IRAN
Type of Seminar:  CONGRESS
Sponsor:  ANJOMAN OROLOGY
Date:  2005Volume 8
 
 
Abstract: 

PURPOSE: ANTERIOR COLPORRAPHY CAUSES URINARY RETENTION AND URINARY SHOULD BE DRAINED FOR SEVERAL DAYS.
IN THIS STUDY WE DETERMINED THE EFFECTIVE FACTORS CAUSING URINARY RETENTION.
MATERIALS & METHODS: IN THIS CROSS SECTIONAL STUDY WE RECEIVED THE DATA OF ALL PATIENTS WHO HAD UNDERGONE ANT COLPORRAPHY FOR THE TREATMENT OF SUI BETWEEN 1997 AND 2000.
THESE VARIABLES WERE ASSESSED: AGE, PARITY, DURATION OF SUI, AGE IN THE FIRST DELIVERY, CYSTOCELE GRADE, DURATION OF URINARY CATHETERIZATION AND SYMPTOMATIC UTI POST OPERATIVELY.
RESULTS: OF 944 PATIENTS WITH SUI 106 PATIENTS (11.2%) HAD URINARY RETENTION. MEAN AGE IN THE GROUP WITHOUT RETENTION (GROUP1) WAS 41.8
±9.1 AND IN URINARY RETENTION GROUP (GROUP2) WAS 42.6±8.7. THAT THERE WAS NO STATISTICALLY SIGNIFICANT DIFFERENCES. THE AVERAGE NUMBER OF DELIVERY WAS 4.2±1.8 IN GROUPS1 AND 2.8±1.8 IN GROUP2.
MEAN DURATION BETWEEN SUI AND OPERATION WAS 25.3 MONTHS IN GROUP 1 AND 55.8 IN GROUP 2. (P<0.001) MEAN AGE IN THE FIRST DELIVERY WAS 18.9
±2.4 YEARS IN GROUP 1 AND 19.2±2.9 IN GOUP2 (P<0.05). INCIDENCE OF 24 HOUR URETHRAL CATHETERIZATION WAS 37.9% IN GROUP1 AND 40.5% IN GROUP 2 THAT THERE WAS NO SIGNIFICANT DIFFERENCE IN INCIDENCE OF UTI BETWEEN 2 GROUPS.
CONCLUSIONS: IN OUR STUDY THE INCIDENCE OF URINARY RETENTION FOLLOWING ANTERIOR COLPORAPHY HAD A REVERSE RELATIONSHIP WITH PARITY AND SEVERITY OF URETHROCELE AND A DIRECT RELATION WITH DURATION OF SUI BEFORE OPERATION BUT THERE WAS NO RELATION WITH OTHER VARIABLES.
THEREFORE FOR DETERMINATION OF CATHETER DURATION FOLLOWING OPERATION OTHER EFFECTIVE FACTORS SHOULD BE CONSIDERED.

 
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