{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T04:08:27Z","timestamp":1792382907565,"version":"4.4.0"},"reference-count":25,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2021,4,23]],"date-time":"2021-04-23T00:00:00Z","timestamp":1619136000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>Postoperative urinary retention (POUR) is a common complication of urogynecological surgery. Our study aimed to identify demographic and perioperative risk factors to construct a prediction model for POUR in urogynecology.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Our retrospective cohort study reviewed all patients undergoing pelvic reconstructive surgeries at our tertiary care center (Jan 1, 2013\u2013May 1, 2019). Demographic, pre\u2010, intra\u2010 and postoperative variables were collected from medical records. The primary outcome, POUR, was defined as (1) early POUR (E\u2010POUR), failing initial trial of void or; (2) late POUR (L\u2010POUR), requiring an indwelling catheter or intermittent catheterization on discharge. Risk factors were identified through univariate and multivariate logistic regression analyses. A clinical prediction model was constructed with the most significant and clinically relevant risk factors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In 501 women, 182 (36.3%) had E\u2010POUR and 61 of these women (12.2% of the entire cohort) had L\u2010POUR. Multivariate logistic regression revealed preoperative postvoid residual (PVR) over 200\u2009ml (odds ratio [OR]: 3.17; <jats:italic>p<\/jats:italic>\u2009=\u20090.026), voiding dysfunction symptoms extracted from validated questionnaires (OR: 3.00; <jats:italic>p<\/jats:italic>\u2009=\u20090.030), and number of concomitant procedures (OR: 1.30 per procedure; <jats:italic>p<\/jats:italic>\u2009=\u20090.021) as significant predictors of E\u2010POUR; preoperative PVR\u2009more than 200\u2009ml (OR: 4.07; <jats:italic>p<\/jats:italic>\u2009=\u20090.011) and antiincontinence procedure with (OR: 3.34; <jats:italic>p<\/jats:italic>\u2009=\u20090.023) and without (OR: 2.64; <jats:italic>p<\/jats:italic>\u2009=\u20090.019) concomitant prolapse repair as significant predictors of L\u2010POUR. A prediction model (area under the curve: 0.70) was developed for E\u2010POUR.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Elevated preoperative PVR is the most significant risk factor for POUR. Alongside other risk factors, our prediction model for POUR can be used for patient counseling and surgical planning in urogynecologic surgery.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.24676","type":"journal-article","created":{"date-parts":[[2021,4,23]],"date-time":"2021-04-23T14:51:50Z","timestamp":1619189510000},"page":"1182-1191","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Risk factors for urinary retention after urogynecologic surgery: A retrospective cohort study and prediction model"],"prefix":"10.1002","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5843-0087","authenticated-orcid":false,"given":"Bei Yuan","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology University of British Columbia  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9164-3383","authenticated-orcid":false,"given":"Jeffrey Man Hay","family":"Wong","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of British Columbia  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"A Koenig","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of British Columbia  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Terry","family":"Lee","sequence":"additional","affiliation":[{"name":"Center for Health Evaluation &amp; Outcome Sciences \u00a0University of British Columbia  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1194-0842","authenticated-orcid":false,"given":"Roxana","family":"Geoffrion","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of British Columbia  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2021,4,23]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.2147\/IJWH.S55383"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anclin.2009.07.010"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-016-3124-3"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/ALN.0b013e31819f7aea"},{"issue":"7","key":"e_1_2_10_6_1","first-page":"5","article-title":"Clinical predictors of urinary retention after pelvic reconstructive and stress urinary incontinence surgery","volume":"52","author":"Komesu YM","year":"2007","journal-title":"J Reprod Med"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-2042.2008.02075.x"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-1433.2004.03116.x"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-018-3791-3"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2004.12.025"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jogc.2020.03.021"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2007.06.013"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/SPV.0000000000000471"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-009-0976-9"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-008-0619-6"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.6118\/jmm.2018.24.3.163"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2012.12.013"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-016-2975-y"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/SPV.0000000000000595"},{"issue":"1","key":"e_1_2_10_20_1","first-page":"6","article-title":"Determinants of voiding after three types of incontinence surgery: a multivariable analysis","volume":"97","author":"Kobak WH","year":"2001","journal-title":"Obstet Gynecol"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2004.10.623"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20636"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-007-0324-x"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(96)70084-4"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000000094"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/SPV.0000000000000512"}],"container-title":["Neurourology and Urodynamics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nau.24676","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/nau.24676","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nau.24676","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,29]],"date-time":"2023-08-29T22:51:57Z","timestamp":1693349517000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/nau.24676"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4,23]]},"references-count":25,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2021,6]]}},"alternative-id":["10.1002\/nau.24676"],"URL":"https:\/\/doi.org\/10.1002\/nau.24676","archive":["Portico"],"relation":{},"ISSN":["0733-2467","1520-6777"],"issn-type":[{"value":"0733-2467","type":"print"},{"value":"1520-6777","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,4,23]]},"assertion":[{"value":"2020-05-29","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-03-29","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-04-23","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}