<![CDATA[Objective: To assess and compare the incidence of urinary retention
in patients post‐vaginal and abdominal total hysterectomy for benign
gynecological disorders.
Method: This is a comparative analytical study with prospective and
retrospective cohort design, which was conducted in Dr. Cipto Mangunkusumo
Hospital and Persahabatan Hospital from June 2012 to
February 2014.
Result: We recruited thirty‐eight research subjects who underwent
abdominal hysterectomy, and 18 subjects who underwent vaginal
hysterectomy. The majority of cases underwent the procedure for
abnormal uterine myoma (55.5%) and adenomyosis (28.9%). Incidence
of urinary retention post‐hysterectomy was 33.3% for vaginal
hysterectomy, and 31.6% for abdominal hysterectomy. The comparison
of the incidence of urinary retention showed no difference
between vaginal and abdominal hysterectomies (RR=1.056).
Conclusion: Vaginal hysterectomy does not increase the incidence
of postoperative urinary retention. However, this study suggests the
need for further research with a larger sample size, employing prospective
cohort design, with preoperative measurement of postvoiding
urine volume (PVR).
Keywords: abdominal hysterectomy, urinary retention, vaginal hysterectomy]]>
Copyrights © 2015
