Into the void: a review of postoperative urinary retention after minimally invasive gynecologic surgery

Marron C Wong, Wong MC, Isaacson K, Keith Isaacson, Morris S, Stephanie Morris
Current opinion in obstetrics & gynecology · 2018 · vol. 30(4) , pp. 260–266 · doi:10.1097/GCO.0000000000000465 · PMID:29889112
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This review examines postoperative urinary retention following minimally invasive gynecologic surgery, highlighting incidence rates between 0.5 and 21 percent and noting that active void trials are preferred for diagnosis while enhanced recovery pathways may reduce occurrence.

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Abstract

PURPOSE OF REVIEW: Postoperative urinary retention (POUR) is a common occurrence after minimally invasive gynecologic surgery (MIGS). This review discusses the definition, incidence, evaluation, diagnosis, and treatment of POUR after MIGS. RECENT FINDINGS: Reported incidence of POUR after MIGS ranges from 0.5 to 21%. Active void trials or awaiting spontaneous void after surgery are both viable options for diagnosing POUR, but active void trials appear to be more accurate, quicker, and preferred by patients. The use of enhanced recovery after surgery pathways and minimizing postoperative opioids can help reduce POUR. SUMMARY: It is important to evaluate postoperative patients for POUR after MIGS. Standard guidelines are lacking for the evaluation and treatment of patients with POUR.

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Condition tags

endometriosis

MeSH descriptors

Gynecologic Surgical Procedures Minimally Invasive Surgical Procedures Urinary Retention Endometriosis Endometriosis Endometriosis Female Female Gynecologic Surgical Procedures Gynecologic Surgical Procedures Humans Humans Minimally Invasive Surgical Procedures Minimally Invasive Surgical Procedures Postoperative Complications Postoperative Complications Risk Factors Risk Factors Urinary Catheterization Urinary Catheterization

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