盆底重建手术术后尿潴留的评估与处理OA北大核心CSTPCD

Urinary retention is generally defined as increased post-void residual urine volume due to im-paired ability of bladder.However,there is no standard definition of postoperative urinary retention in clinic.Compared with other pelvic surgeries,urinary incon-tinence and prolapse surgeries had the highest inci-dence of POUR.Its clinical manifestations are varied.Physical examination can touch a full bladder.Early identification of POUR is critical,retrograde testing or voluntary urination is recommended for patients before discharge.For those who develop urinary retention,continuous catheterization or clean intermittent cath-eterization(CIC)is recommended until the symptoms are relieved.Drug therapy and non-drug intervention also have some effect on urinary retention.When POUR does not resolve spontaneously,more aggressive sur-gical management may be required.