Longer catheterization duration after surgery reduces acute urinary retention risk: Study

USA: A longer duration of catheterization after AdVance Sling placement may reduce acute urinary retention (AUR) occurrence, finds a recent study in the journal Neurourology and Urodynamics.

According to the study, after the surgery, chronic urinary retention is uncommon and acute retention is generally self-limiting. Neither urodynamic nor demographic factors were predictive of AR. Patients who developed AUR were more likely to have heir void trials within 2 days following the placement of AdVance Sling versus longer initial catheterization periods. 

Eric Rovner, Medical University of South Carolina, Charleston, South Carolina, USA, and colleagues aimed to identify risk factors for urinary retention following AdVance Sling placement using preoperative urodynamic studies to evaluate bladder contractility.

For the purpose, the researchers performed a multi‐institutional retrospective review of patients who underwent AdVance Sling for post‐prostatectomy stress urinary incontinence from 2007 to 2019. AUR was defined as the complete inability to void or elevated post‐void residual (PVR) that lead to catheter placement or the initiation of intermittent catheterization at the first void trial postoperatively. Based on preoperative urodynamics, bladder contractility was evaluated.