<![CDATA[Abstract
Objective: To determine the incidence of post-operative urinary retention
after pelvic organ prolapse reconstruction and associated
factors.
Method: This was a prospective cohort study conducted in Dr. Cipto
Mangunkusumo and another associate hospital. We recruited women
planned for pelvic organ prolapse reconstruction from April
2013 to April 2015. Inclusion and exclusion criteria were women
with pelvic organ prolapse (2nd, 3rd and 4th degree) without prior
urinary retention, drugs affecting bladder function, and history of
bladder injury. After surgery, urinary catheter was applied for 24
hours. Six hours apart from urinary catheter released, residual urine
was measured. Urinary retention was defined as residual urine more
than 100 ml.
Result: Of 200 subjects, 59 of them (29.5%) classified as having urinary
retention. No association found between age, body mass index
(BMI), degree of prolapse, degree of cystocele and urinary tract infection
toward urinary retention. Total vagina hysterectomy + anterior
colporaphy + colpoperineoraphy + sacrospinous fixation and reconstruction
duration more than 130 minutes were associated with
urinary retention (relative risk (RR) 3.66; 95% CI 2.91-4.60; p]]>
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