Postoperative Urinary Retention: I. Incidence and Predisposing Factors

Abstract

198 (3.8% comprising 4.7% of the males and 2.9% of the females) out of 5220 surgical patients developed total urinary retention postoperatively. The frequency of this condition increased with age and was highest after thoracotomies and endoprosthetic surgery of the hip joints. Voiding history was abnormal in 80% of the patients affected. Subclinical obstructive bladder dysfunction, over-distension of the bladder during the operation and in the recovery room after the operation, sympathomimetic and anticholinergic medication during or after anaesthesia, and an inability to stand or sit after surgery were common causes of retention. Premedication, type of anaesthesia, nature of the liquids given and postoperative analgetics seemed not to affect the incidence of retention. Postoperative urinary retention is an underestimated and mostly avoidable complication. Every patient should be asked for a urinary history before an elective operation. Infravesical obstruction should be relieved before any other elective surgical procedures are undertaken. In cases of emergency surgery prophylactic catheterization to prevent postoperative retention is recommended for patients with obstructive symptoms.

Total temporomandibular joint alloplastic reconstruction

“…Important: 1) investigate other causes for urinary flow decrease, such as renal failure, ureteral obstruction or hypovolemia; 2) avoid anticholinergic drugs; 3) decrease opioid dose; 4) perform bladder voiding maneuvers or bladder catheterization if necessary. Urinary retention may be caused by central or peripheral action on mu receptors and may be partially reverted by antagonists 16 .…”

Effectiveness of Tamsulosin in Prevention of Postoperative Urinary Retention in Female Patients Undergoing Laparoscopic Cholecystectomy under General Anaesthesia

“…age. 3 A higher incident of post-operative urinary retention has been reported in men(4.7%) compared to women. 3 Post-operative urinary retention incidence varies according to the type of surgery .…”

“…3 A higher incident of post-operative urinary retention has been reported in men(4.7%) compared to women. 3 Post-operative urinary retention incidence varies according to the type of surgery . Although the incidence in general surgical population is around 3.8% 3 ,the incident in anorectal surgery range between 1 and 52% , in hernia repair the incident between 5.9% and 38%.…”

“…3 Post-operative urinary retention incidence varies according to the type of surgery . Although the incidence in general surgical population is around 3.8% 3 ,the incident in anorectal surgery range between 1 and 52% , in hernia repair the incident between 5.9% and 38%. 4 Typically, post-operative urinary retention is a painful co-morbid condition, which increases hospital stay, treatment cost, poor quality of life , kidney damage, long term bladder dysfunction.…”

Predictors for Voiding Trial Failure after Minimally Invasive Sacrocolpopexy

“…Intermittent self-catheterization has been shown to be a superior alternative to indwelling urinary catheters, leading to reduced CAUTIs and increased patient satisfaction [8,9]. Instituting this policy universally does require a significant investment in patient education on behalf of the healthcare provider, as a lack of understanding or compliance with self-catheterization can lead to disastrous consequences, including permanent bladder injury secondary to irreversible nerve damage [10]. The ability to riskstratify patients preoperatively, in terms of individual risk for voiding trial failure, could focus patient education regarding selfcatheterization techniques to the highest risk population, more efficiently utilizing healthcare industry resources.…”