Seongnam Seoul National University Hospital Professor Kim Ki-dong's Team
Confirmed with a Simple Survey
Prevention of Unnecessary Ultrasound and Catheter Insertion
Improvement of Convenience for Patients and Medical Staff
Professor Kim Ki-dong, Department of Obstetrics and Gynecology, Bundang Seoul National University Hospital.
[Asia Economy Reporter Lee Gwan-joo] A research team led by Professor Kim Ki-dong of the Department of Obstetrics and Gynecology at Bundang Seoul National University Hospital announced on the 18th that they successfully conducted a survey (VAS) related to voiding disorders on patients who underwent laparoscopic surgery for gynecological diseases, predicting and evaluating urinary retention.
Urinary retention is a condition where the bladder is full but the patient cannot urinate comfortably. It causes discomfort and pain in the lower abdomen, and if voiding disorders are left untreated, they can lead to urinary tract infections or long-term deterioration of bladder function, making prompt response and treatment important.
To detect voiding disorders after surgery, residual urine volume is usually measured through ultrasound or catheter insertion. However, these methods cause discomfort to patients and require significant time and effort from medical staff.
This study originated from an idea by a nurse in one ward. The idea was, "If the patient urinates comfortably, wouldn't it be unnecessary to measure residual urine volume?" This idea led to actual research and changes in clinical processes.
The study succeeded in distinguishing postoperative voiding disorders through a simple evaluation of "how comfortably the patient urinated." The research team conducted a voiding VAS test on 99 patients who underwent laparoscopic surgery for benign gynecological diseases. The voiding VAS test is a subjective scoring system where patients rate their urination from 0 to 100, ranging from incomplete voiding (not urinating comfortably) to complete voiding (urinating comfortably).
The study results showed that among the 99 patients, 27 experienced urinary retention at least once. Notably, patients with urinary retention had a voiding VAS score of 75.7, which was significantly lower than the 85.5 score of patients without urinary retention. This indicates that urinary retention can be predicted based on this score.
Professor Kim explained, “At the Department of Obstetrics and Gynecology at Bundang Seoul National University Hospital, based on these research results, we can now screen for postoperative voiding disorders through a simple survey. If urinary retention can be predicted in advance, patients judged not to have urinary retention can skip bladder ultrasound or catheter-based residual urine measurements, enhancing patient convenience and enabling efficient use of medical resources.”
The study results were published in the latest issue of the international academic journal 'Journal of Obstetrics and Gynaecology.'
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