Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.
Department of Obstetrics and Gynecology, Hallym University Dongtan Sacred Heart Hospital, Gyeonggi-do, Korea.
J Obstet Gynaecol. 2022 Aug;42(6):2469-2473. doi: 10.1080/01443615.2022.2071149. Epub 2022 Jun 2.
The aim of this study was to identify an appropriate scoring system for predicting postoperative urinary retention (POUR) after gynaecological laparoscopic surgery for benign disease. We analysed 99 patients who underwent gynaecological laparoscopic surgery for benign disease. All patients were asked to complete self-administered questionnaires, including the International Prostate Symptom Score (IPSS), voiding visual analogue scale (VAS), and Brief Pain Inventory-Korean version. Of the 99 patients, 27 (27.3%) experienced urinary retention at least once, while 72 (72.7%) did not. The preoperative and postoperative IPSS scores were not associated with the development of POUR. However, the voiding VAS score was significantly lower in patients that developed POUR ( = .014). In conclusion, our results show that the voiding VAS score is a simple and useful method for identifying patients at risk of POUR after gynaecologic laparoscopic surgery for benign disease. IMPACT STATEMENT Postoperative urinary retention (POUR) is an often underestimated complication defined as inability to void during the postoperative period despite a full bladder. Undetected POUR may lead to complications such as urinary tract infection, bladder distention, and bladder dysfunction. Routine assessment of POUR by bladder ultrasonography in all surgical patients places a larger workload on the nursing staff. Among the self-scoring assessment tools, the voiding VAS provided the most accurate reflection of POUR in patients undergoing gynaecologic laparoscopic surgery for benign disease. As laparoscopy is the most widely employed surgical procedure in gynaecology, our findings could have significant implications for postoperative care in daily clinical practice.
本研究旨在确定一种合适的评分系统，以预测妇科腹腔镜良性疾病手术后的尿潴留（POUR）。我们分析了 99 例行妇科腹腔镜良性疾病手术的患者。所有患者均完成了自我管理问卷，包括国际前列腺症状评分（IPSS）、排尿视觉模拟量表（VAS）和简明疼痛量表-韩文版。在 99 例患者中，有 27 例（27.3%）至少发生过一次尿潴留，而 72 例（72.7%）未发生过。术前和术后 IPSS 评分与 POUR 的发生无关。然而，发生 POUR 的患者的排尿 VAS 评分明显较低（=.014）。总之，我们的结果表明，排尿 VAS 评分是一种简单而有用的方法，可以识别妇科腹腔镜良性疾病手术后发生 POUR 的患者。
术后尿潴留（POUR）是一种常被低估的并发症，定义为尽管膀胱已满，但在术后期间无法排尿。未被发现的 POUR 可能导致泌尿道感染、膀胱扩张和膀胱功能障碍等并发症。对所有手术患者进行常规的 POUR 膀胱超声评估会给护理人员带来更大的工作量。在自我评分评估工具中，排尿 VAS 最能准确反映妇科腹腔镜良性疾病手术患者的 POUR 情况。由于腹腔镜检查是妇科最广泛应用的手术程序，我们的发现可能对日常临床实践中的术后护理有重大意义。
