High-grade cystocele, performance of levator plication or Kelly plication, and severe intra-operative blood loss are independent risk factors for the development of urinary retention after vaginal prolapse surgery, according to researchers in the Netherlands.

Robert A. Hakvoort, MD, of Spaarne Hospital in Hoofddorp, and colleagues based the findings on analysis of medical records of 345 women undergoing the procedure. Results appear in Neurourology and Urodynamics (published online ahead of print).