One in 10 women in the immediate postoperative period following gynaecological surgery will have urinary retention. Indwelling catheters are associated with increased risks of urinary tract infection (UTI) and the longer they are in situ, the higher the risk of UTI.
Postoperative bladder voiding issues may be due to:
- Pre-existing voiding problems
- Bruising /swelling around bladder/urethra e.g. after anterior colporrhaphy
- Over-distension of the bladder by delayed trial of voiding (TOV) can cause bladder atony
- Physical obstruction - stress urinary incontinence procedures eg mid-urethral sling, colposuspension, autologous fascial sling (AFS)
- Clot retention e.g. bladder injury during surgery