Guzmán S, Israel E, Puente R, Iglesias R, Rosa G, Ulloa C
Servicio de Obstetricia y Ginecología, Hospital Regional de Valdivia.
Rev Chil Obstet Ginecol. 1994;59(4):280-3.
The post surgical urinary retention syndrome is a frequent problem after vaginal surgery. In many medical centers it is used a transurethral vesical drainage for three to five days with or without vesical reeducation to prevent it. In order to determine the importance of the time of drainage and vesical reeducation in the presence of this syndrome 106 patients submitted to vaginal surgery were studied at random and prospectively, in our service. Patients were distributed in three groups: the first one, with 37 women in which the drainage was withdrawn at 24 hours; in the second group it was retired at 72 hours and in the third group the drainage was removed at 72 hours with previous vesical reeducation. The results show that those patients who were less time under vesical drainage presented a minor frequency of urinary retention after surgery (24.3% vs 30.7% and 43.7%).
术后尿潴留综合征是阴道手术后常见的问题。在许多医疗中心，会采用经尿道膀胱引流三到五天，无论是否进行膀胱再训练来预防该问题。为了确定在该综合征存在的情况下引流时间和膀胱再训练的重要性，我们科室对106例行阴道手术的患者进行了随机前瞻性研究。患者被分为三组：第一组有37名女性，引流在24小时时撤除；第二组在72小时时撤除；第三组在72小时时撤除引流且在此之前进行膀胱再训练。结果显示，膀胱引流时间较短的患者术后尿潴留发生率较低（24.3% 对比 30.7% 和 43.7%）。
