Urinary Retention After Laparoscopic Definitive Surgery for Stages III and IV Endometriosis Without Explicit Nerve-Sparing Techniques: A Retrospective Analysis

Tinya Lin, Paxton Ting, Ari P. Sanders, Liane Belland
In: Journal of Gynecologic Surgery · 2022 · vol. 38(4) , pp. 309–313 · doi:10.1089/gyn.2022.0011 · W4280588543
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This retrospective analysis found that 5.0% of patients undergoing laparoscopic hysterectomy for advanced endometriosis without explicit nerve-sparing techniques experienced persistent postoperative urinary retention at six weeks.

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Abstract

Objective: This research was conducted to characterize the prevalence and outcomes of postoperative urinary retention (POUR) after laparoscopic hysterectomy (LH) for definitive surgical management of stages III and IV endometriosis without an explicit nerve-sparing (NS) technique. Materials and Methods: This was a retrospective chart review of 106 cases from a single institution of patients who underwent LH for severe endometriosis without an explicit NS technique between March 2014 and August 2020. Six cases were excluded for concurrent low anterior–bowel resection, laparotomy, or incomplete charting. Results: The primary outcome was persistent POUR, defined in this study as continued need for catherization and self-reported sensation of POUR at ∼6 weeks postoperatively. At this time, 5/100 (5.0%) patients met the criteria for persistent POUR, of which 1/100 (1.0%) had objective evidence of retention requiring further management. Immediate POUR was present in 19/100 (19%) of patients. Only 5/100 (5.0%) required continued catheterization past discharge. No patients required catherization at 6 weeks. Conclusions: In nonexplicit NS LH for severe endometriosis, POUR is transient and rarely requires post-discharge catheterization. This study highlights a need for more investigation comparing conventional and NS techniques for reducing POUR after definitive laparoscopic surgery for advanced-stage endometriosis. (J GYNECOL SURG 38:309)

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Condition tags

endometriosis

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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