Patient-Controlled Analgesia and Postoperative Urinary Retention After Open Appendectomy

Petros, James G.; Mallen, John K.; Howe, Kenneth; Rimm, Eric B.; Robillard, Renée J.

doi:10.1097/00132586-199404000-00038

Cited by 24 publications

(38 citation statements)

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“…Current theories concerning the etiology of transient postoperative urinary retention include the effects of periurethral and perivesical edema [Seski and Diokno, 1977;Wake, 1980], inhibition of detrusor contractility [Seski and Diokno, 1977], failure of the external urethral sphincter to relax [Tammela et al, 1986a;Petros et al, 1993;Kaplan et al, 1997Gonullu et al, 1999, and outlet obstruction due to bladder neck elevation after surgery for stress urinary incontinence [Zimmern et al, 1987;Webster and Kreder, 1990].…”

Section: Introductionmentioning

confidence: 99%

The etiology of urinary retention after surgery for genuine stress incontinence

FitzGerald

Brubaker

2000

Neurourol. Urodyn.

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Section: Introductionmentioning

confidence: 99%

The etiology of urinary retention after surgery for genuine stress incontinence

FitzGerald

Brubaker

2000

Neurourol. Urodyn.

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“…One of the important reason of marked differences among the studies is that there have been controversies about the definition of APOUR. (12)(13)(14) In this study, the incidence of APOUR was respectively 19.4% in active group, and 7.4% in control group with our provisional criteria (A case which undergone in-out transurethral catheter drainage or recatheterizations with transurethral catheter). These results are comparable with other reported outcomes.…”

Section: Resultsmentioning

confidence: 61%

Clinical Evaluation of Immediate Removal of Transurethral Catheter after Radical Gastrectomy: A Result of Feasibility Study

et al. 2010

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Purpose: Transurethral catheterization is restricted to fewer procedures and a limited time with an increase in enhanced recovery after surgery (ERAS) programs or fast-track surgical procedures. We aim to evaluate the feasibility of immediate removal of transurethral catheter in hemodymically stable patients undergoing radical gastrectomy prior to a prospective randomized control trial. Methods: A total 63 gastric cancer patients undergoing elective radical gastrectomy were enrolled in a feasibility study. Patients were randomized to either the active group (immediate removal group) or control group (removal at postoperative day 1 group) with blinding, and 58 patients were finally included. Amount of residual and voiding urine, operative factors (operation time, infused fluid, urine output, and blood loss), first voiding discomfort level, urinary discomfort score, and urine analysis were measured. Results: In the active group, the self-voiding volume and residual urine volume measured nearly equal (256 ml vs 244 ml) at 16 hours after transurethral catheter removal. The discomfort score of first self-voiding was lower in active group (P=0.041). Regarding urinary discomfort at postoperative day 2 and the urine analysis at postoperative day 5, there were no significant differences between the 2 groups. Conclusion: Immediate removal of the transurethral catheter could be feasible and safe in hemodynamically stable patients undergoing radical gastrectomy in aspects of ERAS programs. A prospective randomized controlled trial would be scheduled for acceptable evidence.

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“…This value is higher than that found in this study, which may be explained by the small dose of opioid administered. It is believed that the presence of urinary retention is a dose-dependent effect, because studies conducted with patients undergoing cholecystectomy and appendectomy show that the incidence of urinary retention after the operation is proportional to the amount of opioids used 37 . It is important to remember that agonists and alpha-2 adrenergic antagonists alter the bladder function, by acting on alpha-2 receptors present in smooth muscles of the lower and upper urinary tract 38 .…”

mentioning

confidence: 99%