title: Lack of preoperative predictors of the immediate return of postoperative bladder emptying after uterosacral ligament suspension.
abstract: OBJECTIVE
  To determine whether preoperative postvoid residual volume (PVR), pelvic organ prolapse quantification (POPQ) stage, patient characteristics, or concurrent operations are predictors of immediate postoperative bladder emptying after uterosacral ligament suspension (USLS).
  
  
  METHODS
  A review of patients undergoing USLS in 2008 and 2009 was performed. The factors analyzed included patient age, body mass index, parity, preoperative PVR, POPQ stage, concurrent anterior repair, posterior repair, hysterectomy and/or sling procedures, and postoperative voiding trial status.
  
  
  RESULTS
  During the study interval, 151 patients underwent USLS with various combinations of concurrent procedures. The mean preoperative PVR was 90 mL. Seventy-five patients (50%) passed the postoperative voiding trial on postoperative day 1. Patients who passed the postoperative voiding trial and those who failed had similar average preoperative PVR (P = 0.94), similar age (P = 0.14), body mass index (P = 0.45), parity (P = 0.82), and preoperative POPQ stage (P = 0.80). There was no difference (P ≥ 0.14) among concurrent surgical procedures in the proportion of patients who passed the postoperative voiding trial based on univariate analyses.
  
  
  CONCLUSIONS
  In our cohort of patients, preoperative PVR, POPQ stage, and other patient characteristics were not predictors of immediate postoperative bladder emptying after USLS. Postoperative voiding function is one of the most unpredictable aspects of pelvic reconstructive surgery.
authors.affiliation: Division of Female Pelvic Medicine and Reconstructive Surgery, Departments of Obstetrics and Gynecology, Scott & White Healthcare, Temple, TX 76508, USA. cchung@sw.org
authors.forename: Christopher P
authors.initials: CP
authors.lastname: Chung
authors.forename: Thomas J
authors.initials: TJ
authors.lastname: Kuehl
authors.forename: Kimberly M
authors.initials: KM
authors.lastname: Spoonts
authors.forename: Danilo A
authors.initials: DA
authors.lastname: Martins
authors.forename: Wilma I
authors.initials: WI
authors.lastname: Larsen
authors.forename: Paul M
authors.initials: PM
authors.lastname: Yandell
authors.forename: Bobby L
authors.initials: BL
authors.lastname: Shull
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D015992:Body Mass Index; D005260:Female; D006801:Humans; D007044:Hysterectomy; D008022:Ligaments / Q000601:surgery*; D008875:Middle Aged; D010298:Parity; D056887:Pelvic Organ Prolapse / Q000601:surgery*; D011183:Postoperative Complications / Q000628:therapy*; D011237:Predictive Value of Tests; D053825:Suburethral Slings; D014546:Urinary Catheterization; D014555:Urination Disorders / Q000628:therapy*; D014563:Urodynamics