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Cited by 9Pelvic floor disorders treatmentsUrinary Bladder and Prostate ResearchFrailty in Older Adults

Frailty and acute postoperative urinary retention in older women undergoing pelvic organ prolapse surgery

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Zuo, Stephanie W., Carter-Brooks, Charelle M., Zyczynski, Halina M., Ackenbom, Mary F.·2023·Urogynecology
DOI 10.1097/spv.0000000000001289PMC PMC10038063
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Abstract

IMPORTANCE: Acute postoperative urinary retention (POUR) is common after pelvic reconstructive surgery, occurring in 15-45% of women. There is a paucity of data on the relationship between frailty and POUR after prolapse surgery. OBJECTIVE: This study aimed to examine the association between frailty and POUR in older women who underwent pelvic organ prolapse surgery. STUDY DESIGN: This secondary analysis of a prospective study of postoperative delirium enrolled women 60 years and older undergoing prolapse surgery. The Fried Frailty Index was used to assess frailty before surgery. Acute POUR was defined as failure to pass a retrograde voiding trial at hospital discharge with postvoid residual volume of greater than 100 mL. RESULTS: Analyses included 165 women, with a mean ± SD age of 72.5 ± 6.1 years and a body mass index of 28.0 ± 4.4 kg/m2. There were 49 laparoscopic/robotic apical suspension procedures (29.7%), 60 vaginal obliterative procedures (36.4%), 47 vaginal apical suspension procedures (28.5%), and 9 isolated anterior and/or posterior colporrhaphies (5.5%), of which 9 had a concomitant incontinence procedure. Seventy-eight women (47.3%) experienced acute POUR. Thirty-one (18.8%) met the criteria for "not frail," 115 (88.5%) were "prefrail," and 19 (11.5%) were "frail." Neither frailty status nor score was associated with POUR. In an analysis of individual Fried Frailty Index components, self-reported unintentional weight loss was significantly associated with POUR (odds ratio, 4.6; 95% confidence interval, 1.23-17.15). This remained significant on multivariable logistic regression (adjusted odds ratio, 4.06; 95% confidence interval, 1.01-16.39). CONCLUSIONS: Frailty was not associated with POUR in older women undergoing prolapse surgery. The observed association between POUR and unintended weight loss before surgery warrants further investigation.

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Cited by

Sorted by citations

Authors
Zuo, S. W., Carter-Brooks, C. M., Zyczynski, H. M., & Ackenbom, M. F.
Affiliations
  • University of Pittsburgh Medical Center (US)
  • George Washington University (US)
Corresponding author
  • Zuo, Stephanie W.
  • Zyczynski, Halina M.
  • Ackenbom, Mary F.
ORCID
Venue
Urogynecology
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2023-02
Volume
29
Issue
2
Pages
168-174
ISSN
  • 2151-8378 (ISSN-L)
  • 2771-1897
DOI
10.1097/spv.0000000000001289
PMC
PMC10038063
OpenAlex
W4318693446
Cited by
9
References
0
Citations by year
2026: 2 · 2025: 5 · 2024: 2
FWCI
1.89
Type
journal article
Language
en
Open access
Locations
  • Urogynecology (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institute on Aging (R03AG064378, K23AG073517)
  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (K12HD063087)
Topics
  • Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
  • Health Sciences › Medicine › Urology › Urinary Bladder and Prostate Research
  • Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
Keywords
frailty, pelvic organ prolapse surgery, older women, Fried Frailty Index, unintentional weight loss, post-void residual urine, pelvic reconstruction, postoperative delirium
MeSH terms
Frailty, Aged, Female, Humans, Patient Discharge, Postoperative Complications, Prospective Studies, Gynecologic Surgical Procedures, Urinary Retention, Pelvic Organ Prolapse

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