Anterior colporrhaphy does not induce bladder outlet obstruction.
OBJECTIVE
We aimed to evaluate if anterior colporrhaphy causes incomplete voiding due to bladder outlet obstruction.


METHODS
Women scheduled for anterior colporrhaphy were asked to undergo multichannel urodynamic investigation before surgery and the first postoperative day. Bladder outlet obstruction was assessed using the Blaivas–Groutz voiding nomogram. Maximum flow rate, detrusor pressure and residual volume were compared between pre- and postoperative measurements and between women with and without an abnormal post-void residual volume (PVR; volume exceeding 150 ml).


RESULTS
Seventeen women participated. One woman who was unobstructed before surgery was obstructed after surgery. Overall, detrusor pressure and maximum flow rate before and after surgery did not differ. After surgery, six women had an abnormal PVR, one was unable to void, four were mildly obstructed and one moderately obstructed.


CONCLUSIONS
Urodynamic investigation the first day after anterior colporrhaphy did not show that anterior colporrhaphy induces bladder outlet obstruction. The explanation for postoperative urinary retention can therefore also lie in nonanatomical causes such as postoperative pain and psychological factors.
Department of Obstetrics and Gynaecology, Academic Medical Centre, Room H4-205, PO Box 22700, 1105 DE Amsterdam, The Netherlands. m.m.lakeman@amc.uva.nl
M M E
MM
Lakeman
R A
RA
Hakvoort
E P
EP
Van de Weijer
M H
MH
Emanuel
J P W R
JP
Roovers
D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D009426:Netherlands / Q000453:epidemiology; D056887:Pelvic Organ Prolapse / Q000503:physiopathology / Q000601:surgery*; D011183:Postoperative Complications / Q000453:epidemiology / Q000517:prevention & control; D011312:Pressure; D011446:Prospective Studies; D016896:Treatment Outcome; D001743:Urinary Bladder / Q000503:physiopathology* / Q000601:surgery; D001748:Urinary Bladder Neck Obstruction / Q000453:epidemiology* / Q000517:prevention & control; D014563:Urodynamics / Q000502:physiology*; D013520:Urologic Surgical Procedures / Q000379:methods* / Q000592:standards*; D014621:Vagina / Q000601:surgery*