title: Voiding trial outcome following pelvic floor repair without incontinence procedures.
abstract: OBJECTIVE
  Our aim was to identify predictors of postoperative voiding trial failure among patients who had a pelvic floor repair without a concurrent incontinence procedure in order to identify low-risk patients in whom postoperative voiding trials may be modified.
  
  
  METHODS
  We conducted a retrospective cohort study of women who underwent pelvic floor repair without concurrent incontinence procedures at two institutions from 1 November 2011 through 13 October 2013 after abstracting demographic and clinical data from medical records. The primary outcome was postoperative retrograde voiding trial failure. We used modified Poisson regression to calculate the risk ratio (RR) and 95 % confidence interval (CI).
  
  
  RESULTS
  Of the 371 women who met eligibility criteria, 294 (79.2 %) had complete data on the variables of interest. Forty nine (16.7 %) failed the trial, and those women were less likely to be white (p = 0.04), more likely to have had an anterior colporrhaphy (p = 0.001), and more likely to have had a preoperative postvoid residual (PVR) ≥150 ml (p = 0.001). After adjusting for race, women were more likely to fail their voiding trial if they had a preoperative PVR of ≥150 ml (RR: 1.9; 95 % CI: 1.1-3.2); institution also was associated with voiding trial failure (RR: 3.0; 95 % CI: 1.6-5.4).
  
  
  CONCLUSIONS
  Among our cohort, postoperative voiding trial failure was associated with a PVR of ≥150 ml and institution at which the surgery was performed.
authors.affiliation: Harvard Medical School, Boston, MA, USA.
authors.forename: Rui
authors.initials: R
authors.lastname: Wang
authors.affiliation: Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.|Harvard Medical School, Boston, MA, USA.
authors.forename: Sara
authors.initials: S
authors.lastname: Won
authors.affiliation: Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
authors.forename: Miriam J
authors.initials: MJ
authors.lastname: Haviland
authors.affiliation: Harvard Medical School, Boston, MA, USA.|Boston Urogynecologic Associates, Mount Auburn Hospital, Harvard Medical School, Cambridge, MA, USA.
authors.forename: Emily
authors.initials: E
authors.lastname: Von Bargen
authors.affiliation: Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.|Harvard Medical School, Boston, MA, USA.
authors.forename: Michele R
authors.initials: MR
authors.lastname: Hacker
authors.affiliation: Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.|Harvard Medical School, Boston, MA, USA.
authors.forename: Janet
authors.initials: J
authors.lastname: Li
authors.affiliation: Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA. rlefevre@bidmc.harvard.edu.|Harvard Medical School, Boston, MA, USA. rlefevre@bidmc.harvard.edu.
authors.forename: Roger
authors.initials: R
authors.lastname: Lefevre
mesh_terms: D005260:Female; D006801:Humans; D016013:Likelihood Functions; D017773:Pelvic Floor / Q000601:surgery; D059952:Pelvic Floor Disorders / Q000503:physiopathology / Q000601:surgery*; D016012:Poisson Distribution; D011183:Postoperative Complications / Q000209:etiology / Q000503:physiopathology*; D057234:Preoperative Period; D012189:Retrospective Studies; D012307:Risk Factors; D014549:Urinary Incontinence / Q000209:etiology / Q000503:physiopathology*; D014554:Urination / Q000502:physiology*; D014563:Urodynamics
keywords: Pelvic floor repair; Postoperative voiding trial; Transient postoperative urinary retention