{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T17:58:37Z","timestamp":1790618317418,"version":"4.1.0"},"reference-count":18,"publisher":"MDPI AG","issue":"19","license":[{"start":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:00:00Z","timestamp":1790553600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Clin. Med.","JCM"],"abstract":"<jats:p>Background\/Objectives: Pelvic organ prolapse affects up to one in five postmenopausal women. Although transvaginal mesh procedures are restricted to selected cases, they may be followed by transient postoperative urinary retention (POUR) and, rarely, serious urinary tract complications. This study assessed the frequency and risk factors for urinary complications after vaginal mesh prolapse repair and described strategies for their prevention, early detection, and management. Methods: This retrospective, single-center observational study with nested case series included 517 postmenopausal women aged 48\u201390 years who underwent anterior and apical prolapse repair using the ultralight polypropylene InGYNious anterior system between January 2021 and March 2026. The primary outcome was POUR. Secondary outcomes included urinary tract infection, bladder or ureteral injury, hydronephrosis, oliguria, acute kidney injury, and the need for urological intervention. Results: POUR occurred in 128 of 517 patients (24.8%) within 24 h after catheter removal; 45 of these women (35.2%) required catheterization and retention persisted beyond the first postoperative day in 101 (78.9%). Seven urinary tract injuries were recorded, including four bladder injuries and three cases of ureteral injury or kinking. Four severe postoperative cases were analyzed in detail. Concomitant posterior colporrhaphy was independently associated with POUR (OR = 1.97, 95% CI 1.31\u20132.97; 31.1% vs. 18.6%) and with any urinary tract complication (OR = 1.52, 95% CI 1.03\u20132.25). Age, parity, and body mass index were not significantly associated with these outcomes. Conclusions: Careful preoperative evaluation, appropriate surgical training, avoidance of excessive tissue traction, and prompt assessment of postoperative oliguria are essential. Patients should be informed about the possibility of transient urinary retention and the potential need for short-term catheterization.<\/jats:p>","DOI":"10.3390\/jcm15197535","type":"journal-article","created":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T16:50:54Z","timestamp":1790614254000},"page":"7535","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Urinary Complications and Injuries Related to Vaginal Mesh Surgery for Pelvic Organ Prolapse: Prevention and Management"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5887-817X","authenticated-orcid":false,"given":"Aleksandra","family":"Pi\u0105tek","sequence":"first","affiliation":[{"name":"Department of Gynecology, Independent Public Health Care Center of the Ministry of the Interior and Administration in Wroc\u0142aw, 50-233 Wroc\u0142aw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"conceptualization","vocabulary":"credit"},{"role":"methodology","vocabulary":"credit"},{"role":"software","vocabulary":"credit"},{"role":"investigation","vocabulary":"credit"},{"role":"resources","vocabulary":"credit"},{"role":"writing-original-draft","vocabulary":"credit"},{"role":"writing-review-editing","vocabulary":"credit"},{"role":"visualization","vocabulary":"credit"},{"role":"project-administration","vocabulary":"credit"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7921-7058","authenticated-orcid":false,"given":"Gabriela","family":"Ko\u0142ody\u0144ska","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, Wroclaw University of Health and Sport Sciences, 51-612 Wroc\u0142aw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"resources","vocabulary":"credit"},{"role":"writing-original-draft","vocabulary":"credit"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4898-960X","authenticated-orcid":false,"given":"Krystian","family":"Kaczmarek","sequence":"additional","affiliation":[{"name":"Department of Urology and Urological Oncology, Pomeranian Medical University, 70-204 Szczecin, Poland"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"formal-analysis","vocabulary":"credit"},{"role":"resources","vocabulary":"credit"},{"role":"writing-original-draft","vocabulary":"credit"}]},{"given":"Mateusz","family":"Ma\u015blanka","sequence":"additional","affiliation":[{"name":"Department of Descriptive and Clinical Anatomy, Medical University of Warsaw, 02-091 Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"writing-original-draft","vocabulary":"credit"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0010-3021","authenticated-orcid":false,"given":"Waldemar","family":"Andrzejewski","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, Wroclaw University of Health and Sport Sciences, 51-612 Wroc\u0142aw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"supervision","vocabulary":"credit"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0924-6870","authenticated-orcid":false,"given":"Maciej","family":"Zalewski","sequence":"additional","affiliation":[{"name":"Department of Gynecology, Independent Public Health Care Center of the Ministry of the Interior and Administration in Wroc\u0142aw, 50-233 Wroc\u0142aw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"conceptualization","vocabulary":"credit"},{"role":"writing-review-editing","vocabulary":"credit"},{"role":"supervision","vocabulary":"credit"},{"role":"project-administration","vocabulary":"credit"}]}],"member":"1968","published-online":{"date-parts":[[2026,9,28]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"703","DOI":"10.1097\/SPV.0000000000001396","article-title":"European Urogynaecological Association Position Statement: Pelvic Organ Prolapse Surgery","volume":"29","author":"Padoa","year":"2023","journal-title":"Urogynecology"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"41715","DOI":"10.1038\/s41598-025-25652-7","article-title":"Risk factors for postoperative urinary retention following pelvic organ prolapse surgery: A meta-analysis","volume":"15","author":"Zhou","year":"2025","journal-title":"Sci. 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