Prevalence of postoperative bladder distension and urinary retention detected by ultrasound measurement

Lamonerie, Laurent; Marret, Emmanuel; Deleuze, Arnaud; Lembert, Nadège; Dupont, Mélanie; Bonnet, Francis

doi:10.1093/bja/aeh099

Cited by 133 publications

(108 citation statements)

References 7 publications

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“…Several studies, though implicating intrathecal anesthesia as a risk factor for urinary retention, neither discuss a comparative anesthetic modality nor provide the dose/type of local anesthetic utilized. 28,30,33,36,41,43,[52][53][54][55] Results of studies assessing the urodynamic effects of both intrathecal local anesthetics and opioids tend to concur with our data. Kamphuis et al performed filling cystometric studies in 30 male patients to estimate detrusor pressure and flow rates.…”

Section: Discussionsupporting

confidence: 85%

Neuraxial anesthesia and bladder dysfunction in the perioperative period: a systematic review

Choi

Mahon

Awad

2012

Can J Anesth/J Can Anesth

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Purpose Urinary retention requiring catheterization carries the risk of infection. Neuraxial anesthesia causes transient impairment of bladder function ranging from delayed initiation of micturition to frank urinary retention. We undertook a review of the literature to determine the elements of neuraxial anesthesia and analgesia that prolong bladder dysfunction and increase the incidence of urinary retention. Methods We performed a systematic search of the PubMed, MEDLINE, and EMBASE databases (from January 1980 to January 2011) to identify studies where neuraxial anesthesia and/or analgesia were employed and at least one of the following outcomes was reported: urinary retention, time to micturition, or post void residual. We included randomized controlled trials and observational studies published in the English language and we excluded case reports. The randomized trials were graded according to the Jadad score. Principal findings Our search yielded 94 studies, and in 16 of these studies, the authors reported time to micturition after intrathecal anesthesia of varying local anesthetics and doses. Intrathecal injections were performed in 41 of these studies, epidural anesthesia/analgesia was used in 39 studies, and five studies involved both the intrathecal and epidural routes. Meta-analysis was not possible because of the heterogeneity of interventions and reported outcomes. The duration of detrusor dysfunction after intrathecal anesthesia is correlated with local anesthetic dose and potency. The incidence of urinary retention displays a similar trend and is further increased by the presence of neuraxial opioids, particularly long-acting variants. Urinary tract infection secondary to catheterization occurred rarely. Conclusions Neuraxial anesthesia/analgesia results in transient detrusor dysfunction. The duration of dysfunction depends on the potency and dose of medication used; however, it does not appear to result in significant morbidity.

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Section: Discussionsupporting

confidence: 85%

Neuraxial anesthesia and bladder dysfunction in the perioperative period: a systematic review

Choi

Mahon

Awad

2012

Can J Anesth/J Can Anesth

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“…This is consistent with the literature across other surgical specialities including orthopaedics, thoracic, vascular and otolaryngology; where neither gender has been consistently identified to confer risk [49][50][51]54 .…”

Section: A C C E P T E D Accepted Manuscriptsupporting

confidence: 90%

“…Eight studies in this review demonstrated increased age as a risk factor for POUR, a finding which has been shown following many types of surgery in the ambulatory and inpatient settings 1,[49][50][51][52][53] . Sub-group analysis demonstrated a marked increase in the risk of POUR once an age cut-off of ≥60 years was used.…”

Section: A C C E P T E D Accepted Manuscriptmentioning

confidence: 67%

Patient-related risk factors for urinary retention following ambulatory general surgery: a systematic review and meta-analysis

Mason

Scott

Mayer

et al. 2016

The American Journal of Surgery

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“…Lee et al [6] defined POUR as the inability to urinate or a residual urine volume of more than 100 ml after selfvoiding for two days after surgery. It has been reported that a normal bladder volume is 400-600 ml in healthy adults and that individuals begin to feel the sense of voiding at a bladder volume of 150 ml [17]. When bladder volume reaches 300 ml, patients feel a sense of urinary urgency.…”

Section: Discussionmentioning

confidence: 99%

Sugammadex use can decrease the incidence of post-operative urinary retention by avoiding anticholinergics: a retrospective study

et al. 2018

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Prevalence of postoperative bladder distension and urinary retention detected by ultrasound measurement

Abstract: Before discharge from the recovery room it seems worthwhile to systematically check the bladder volume with a portable ultrasound device in patients with risk factors.

Cited by 133 publications

References 7 publications

Neuraxial anesthesia and bladder dysfunction in the perioperative period: a systematic review

Neuraxial anesthesia and bladder dysfunction in the perioperative period: a systematic review

Patient-related risk factors for urinary retention following ambulatory general surgery: a systematic review and meta-analysis

Sugammadex use can decrease the incidence of post-operative urinary retention by avoiding anticholinergics: a retrospective study

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