{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T16:12:32Z","timestamp":1779293552443,"version":"3.51.4"},"reference-count":55,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T00:00:00Z","timestamp":1779235200000},"content-version":"vor","delay-in-days":139,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100017501","name":"Science-Health Joint Medical Scientific Research Project of Chongqing","doi-asserted-by":"publisher","award":["2023MSXM055"],"award-info":[{"award-number":["2023MSXM055"]}],"id":[{"id":"10.13039\/100017501","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100016834","name":"Chongqing Municipal Health Commission","doi-asserted-by":"publisher","award":["2025WSJK069"],"award-info":[{"award-number":["2025WSJK069"]}],"id":[{"id":"10.13039\/100016834","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Nursing Management"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To evaluate and summarise the best evidence on the prevention and management of postoperative urinary retention (POUR) following pelvic floor reconstruction and provide an evidence\u2010based foundation for clinical practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Adhering to the top\u2013down principle of the 6S model of evidence\u2010based resources, all evidence from domestic and international databases and websites on the prevention and management of POUR after pelvic floor reconstruction, including clinical decisions, evidence\u2010based guidelines, evidence summaries, systematic reviews, meta\u2010analyses and expert consensus statements, was systematically searched from the inception of each database to May 9, 2024. Quality assessment, evidence extraction and summarisation were performed by two researchers. This study was registered with the Evidence\u2010Based Nursing Center of Fudan University (registration number: ES20244725).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Twenty\u2010one studies were included and used to develop 26 evidence\u2010based recommendations, which were categorised into five areas: risk assessment and information, preventive measures, early identification, management strategies and follow\u2010up management. Preoperative evaluation should include the patient\u2019s urination status, postvoid residual (PVR) and risk factors for POUR, without the routine need for urodynamic testing. During surgery, excessive separation of the urethra should be minimised, and the sling or mesh should be kept tension\u2010free. Catheters should be removed 24\u201348\u2009h post\u2010operatively, followed by a timely voiding trial, with retrograde voiding trials recommended. Intermittent catheterisation or indwelling catheterisation is considered the primary treatment option for POUR. If necessary, sling or mesh loosening may be performed, while sling or mesh release should be approached with caution, and urethral dilation is not recommended. A follow\u2010up assessment of urination status is advised at least once within 6\u2009weeks postsurgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These 26 pieces of evidence provide guidance for healthcare professionals in standardising the management of POUR following pelvic floor reconstructive surgery. However, because this evidence comes from different countries, healthcare professionals are encouraged to apply it in specific clinical contexts to optimise patient outcomes. Future research should focus more on risk assessment tools and specific preventive measures for POUR following pelvic floor surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/jonm\/7634800","type":"journal-article","created":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T15:18:27Z","timestamp":1779290307000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Urinary Retention Complications Following Pelvic Floor Reconstructive Surgery: Prevention and Management Strategies Based on Evidence Synthesis"],"prefix":"10.1155","volume":"2026","author":[{"given":"Linlin","family":"Zhou","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chunyan","family":"She","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9831-5160","authenticated-orcid":false,"given":"Shuang","family":"Hu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xue","family":"Su","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5718-2541","authenticated-orcid":false,"given":"Lubin","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-1387-7510","authenticated-orcid":false,"given":"Ling","family":"Dai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,5,20]]},"reference":[{"key":"e_1_2_12_1_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-009-0976-9"},{"key":"e_1_2_12_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410x.2004.05254.x"},{"key":"e_1_2_12_3_2","doi-asserted-by":"publisher","DOI":"10.1080\/13697137.2018.1520824"},{"key":"e_1_2_12_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/gme.0b013e3181967b5d"},{"key":"e_1_2_12_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2011.03.046"},{"key":"e_1_2_12_6_2","first-page":"300","article-title":"Chinese Guidelines for the Diagnosis and Treatment of Pelvic Organ Prolapse (2020 Edition)","volume":"55","author":"Association G. 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