Management of Bladder Function after Outpatient Surgery

Pavlin, J.; Pavlin, Edward G.; Fitzgibbon, Dermot R.; Koerschgen, Meagan E.; Plitt, Terryn M.

doi:10.1097/00000542-199907000-00010

Cited by 124 publications

(67 citation statements)

References 12 publications

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“…For TEP, the corresponding incidence of urinary retention varies from 1.5% to 4.2% (Table 3) [1,11,15,20,21]. The discrepancy in incidence among dierent centers may re¯ect dierences in methods of diagnosis and the treatment of urinary retention, as well as anesthetic and surgical techniques [16]. Possible contributing factors for the development of urinary retention include choice of anesthetic medication, postoperative pain, use of opiates for analgesia, preexisting bladder outlet obstruction, and intraoperative overhydration leading to bladder distension [4,7,17,19].…”

Section: Discussionmentioning

confidence: 99%

“…Patients should be instructed to void before the operation. Anesthesiologists need to administer¯uids in judicious amounts to avoid overdistending the urinary bladder [16]. After operation, simple measures, such as encouraging early ambulation and applying warm packs to the suprapubic area, can facilitate early bladder emptying [4].…”

Section: Discussionmentioning

confidence: 99%

“…Bladder volume can be monitored by ultrasound. Pavlin et al [16] recommended urinary catheterization for patients who were unable to void with a bladder volume >600 ml.…”

Section: Discussionmentioning

confidence: 99%

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Urinary retention following endoscopic totally extraperitoneal inguinal hernioplasty

et al. 2002

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Urinary retention following endoscopic totally extraperitoneal inguinal hernioplasty

et al. 2002

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“…[33]Although spinal anesthesia is useful in clinical trial settings to prevent bias from using various types of anesthesia, in routine practice other types of anesthesia should also be considered. [34]…”

Section: Discussionmentioning

confidence: 99%

Polyglactine/Polypropylene Mesh vs. Propylene Mesh: Is there a need for newer prosthesis in inguinal hernia?

Khan

Bangash

Sadiq

et al. 2010

Saudi J Gastroenterol

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Background/Aim:To compare outcomes of light and heavy weight mesh for repair of inguinal hernia.Materials and Methods:This study was conducted at the Department of Surgery; Lady Reading Hospital, Peshawar from January 1, 2007 to December 31, 2008. Patients were divided into two groups based on the type of mesh implanted for inguinal hernia repair. Group 1 included patients in whom light weight composite (VyproII®) mesh is implanted: Group 2 included patients in whom polypropylene (ProleneR) mesh is implanted. Data concerning the complications and post operative pain in the perioperative and postoperative period were collected and analyzed. Categorical data were presented as percentages with 95% confidence intervals and compared using a χ2test and P<0.05 were considered significant.Results:Following allocation and exclusion of violating cases, 111 patients in group 1 and 138 patients in group 2 were analyzed. The mean age in group 1 was 38.20 ± 13.34 years and in group 2 was 39.55 ± 13.70 (P = 0.434). In group 1, hematoma formation was observed in four cases (3.6%), while it was observed in six cases (4.2%) in group 2 (P = 0.766). During the entire study, ten patients in all developed urinary retention, three of which required transient catheterization. One year post operation, there was a recurrence in only five cases overall, while only two patients complained of pain (P = 0.826).Conclusion:The frequency of postoperative pain and complications in patients was similar in both groups.

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“…Der akute oder chronische Harnverhalt, welcher ätiologisch obstruktiv, neurogen, pharmakologisch oder psychisch bedingt sein kann, stellt eine der häufigsten Ursachen für die Einlage eines SBK dar [12,23,26]. Ferner kommt es im postoperativen Verlauf von urologischen, gynäkologischen oder rektalen Eingriffen häufig zu einem sekundären Harnverhalt [21].Auch nach Beckenfrakturen kann es zu Verletzungen, in schweren Fällen sogar zum Abriss der Urethra kommen. In diesen Situationen wird üb-licherweise zur Umgehung des "Traumagebietes" ein SBK zur temporären Harnableitung angelegt [13].…”

Section: Indikationen Und Kontraindikationen Für Die Anlage Eines Sbkunclassified

Die Relevanz der Harnblasenf�llung bei der suprapubischen Blasenkatheterisierung

et al. 2004

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Suprapubic punction of the urinary bladder (cystostomy) may cause typical, sometimes lethal injuries of pelvic organs especially in cases of an insufficient bladder filling. Some of these cases were described in the literature of legal medicine. To verify the importance of the cranial displacement of the vulnerable intestine by a filled bladder, the distances between the upper end of the symphysis and apex vesicae were measured in 76 forensic autopsies in situ and correlated with the filling volume of the urinary bladder. 69,2% of cases with a bladder filling volume up to 200 ml showed a suprapubic distance of only < or =4 cm. However, this distance collides with the preferred clinical intervention point, 2 fingers above the symphysis. In all cases with a bladder filling volume > or =300 ml, the distances were > or =5 cm. Based on our measurements, we recommend a preoperative bladder filling of > or =300 ml for an uncomplicated insertion of a suprapubic catheter.

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Management of Bladder Function after Outpatient Surgery

Abstract: In reliable patients at low risk for retention, voiding before discharge appears unnecessary. In high-risk patients, continued observation until the bladder is emptied is indicated to avoid prolonged overdistention of the bladder.

Cited by 124 publications

References 12 publications

Urinary retention following endoscopic totally extraperitoneal inguinal hernioplasty

Urinary retention following endoscopic totally extraperitoneal inguinal hernioplasty

Polyglactine/Polypropylene Mesh vs. Propylene Mesh: Is there a need for newer prosthesis in inguinal hernia?

Die Relevanz der Harnblasenf�llung bei der suprapubischen Blasenkatheterisierung

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