Majalah Kedokteran Nusantara The Journal Of Medical School
Vol 50, No 3 (2017): The Journal of Medical School

Residu Urine Pasca Total Vaginal Histerektomi setelah Pemberian Misoprostol di RSUP H. Adam Malik Medan

Djaganata, Servin Pandu (Unknown)
Ardiansyah, Edy (Unknown)
Tala, M. Rhiza Z (Unknown)
Sihite, Herbert (Unknown)
Siregar, Henry Salim (Unknown)
Effendi, Iman Helmi (Unknown)



Article Info

Publish Date
02 Jan 2018

Abstract

Introduction One of the late complications of total vaginal hysterectomy (TVH) commonly involves urinary tract, i.e urinary retention (21-87%). Treatment with misoprostol can prevent the occurrence of urinary retention.Methods This study was a retrospective descriptive study using secondary data from 5-year-(January 2010-December 2014) medical records at Adam Malik Hospital in patients that underwent TVH. Samples were collected by total sampling. Data were analysed using univariate and ANOVA bivariate analysis. The p-value was considered significant if p<0.05 with a confidence interval of 95%.Results A total of 66 patients underwent TVH with mean post voiding urine volume 30.71 ± 6.78 mL. Based on the age, one person, 6, and 59 people were alloted into the following groups: 30- 39 (1.51%), 40- 49 (9.09%), and ≥50 years old (89.39%), respectively. Each group showed no significant difference in post voiding urine volume (20 ml; 27.8 ± 6.58 ml; 31.18 ± 6.69 ml, sequentially). The mean residual urine obtained increased along with parity, but showed no significant difference (p> 0.05).Conclusion: In this study, urinary retention was not present in patients going for TVH treated misoprostol. There is no significant difference in mean post voiding urine volume by age and parity group.Keywords : Total Vaginal Hysterectomy (TVH); residual urine; misoprostol

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