根治性子宫切除术是治疗早期宫颈癌的标准治疗方法，与术后尿潴留有关。关于缓解术后尿潴留的最佳排尿试验方法尚无明确共识。我们的目的是评估术后排尿试验类型与宫颈癌根治性子宫切除术后尿潴留风险之间的关联。我们对因明显早期宫颈癌接受根治性子宫切除术的患者进行了回顾性分析（FIGO 2018 年 IA2-IB2 期） 2014 年 1 月至 2023 年 2 月期间。我们根据术后排尿试验的方法（定时、自动填充或回填）比较了尿潴留的发生率和围手术期结果。使用多变量逻辑回归来确定排尿试验类型与术后 30 天内无尿潴留的关联。在确定的 115 名患者中，48 名 (41.8%) 患者完成了定时排尿试验，40 名 (34.7%) 患者完成了自动填充排尿试验，和 27 (23.5%) 回填空隙试验。 44.3% 的患者出现术后尿潴留，根据无效试验没有差异 (p = 0.17)。与其他试验相比，接受回填排尿试验的患者尿潴留更有可能在 7 天 (p = 0.012) 和 30 天 (p = 0.01) 内得到解决。在多变量模型中，与其他试验相比，回填排空试验与不存在 30 天尿潴留相关（aOR 15.1；95% C.I. 1.5-154.9）。根据术后排空试验方法，根治性子宫切除术后的尿潴留率没有差异。根治性子宫切除术后回填排空试验可能会提高术后尿潴留的解决率。版权所有 © 2024 Elsevier Inc. 保留所有权利。

Radical hysterectomy is the standard of care for management of early-stage cervical cancer and is associated with postoperative urinary retention. No clear consensus exists regarding optimal voiding trial methodology for mitigating postoperative urinary retention. Our objective was to evaluate the association between type of postoperative voiding trial and risk of urinary retention after radical hysterectomy for cervical cancer.We conducted a retrospective analysis of patients undergoing radical hysterectomy for apparent early-stage cervical cancer (FIGO 2018 Stage IA2-IB2) between January 2014 and February 2023. We compared incidence of urinary retention and perioperative outcomes based on method of postoperative voiding trial (timed, autofill, or backfill). Multivariate logistic regression was used to determine association of type of void trial with absence of urinary retention within 30 days postoperatively.Of the 115 patients identified, 48 (41.8%) patients completed a timed void trial, 40 (34.7%) an autofill void trial, and 27 (23.5%) a backfill void trial. 44.3% of patients developed postoperative urinary retention with no differences based on void trial (p = 0.17). Urinary retention was more likely to resolve by 7 (p = 0.012) and 30 days (p = 0.01) for patients undergoing backfill voiding trials, compared to other trials. In multivariate models, backfill void trial was associated with absence of 30-day urinary retention, compared to other trials (aOR 15.1; 95% C.I. 1.5-154.9).Rates of urinary retention following radical hysterectomy do not differ based on postoperative void trial methodology. A backfill void trial following radical hysterectomy may lead to increased rates of resolution of postoperative urinary retention.Copyright © 2024 Elsevier Inc. All rights reserved.