Dr Rabia Iftkhar,Dr Bakhtiar Ahmad Khan,Dr Natasha Masood
Overpressure due to incomplete bladder emptying or unaddressed urinary retention can lead to the development of myogenic and neurogenic damage, ureteral reflux and detrusor dysfunction due to overdistension and elevated intravesicular pressure. Two methods have defined to evaluate the voiding function post-operatively by performing a retrograde or a spontaneous fill voiding trial on post-operative day. A retrograde voiding trial has more sensitivity and specificity as compared to the detection of urinary retention compares with spontaneous fill which has less specificity and sensitivity. Studies have yet to examine the impact of a day-of- surgery voiding trial on voiding function in women undergoing apical suspension and obliterative procedures. The study has concluded that early voiding trial post-operatively has been found effective and catheter removal has been feasible, safe and acceptable on post-operative day 1 in women undergoing major pelvic reconstructive surgeries.