Risk factors for postoperative urinary retention among women who underwent laparoscopic cholecystectomy

Choi, Jae-Won; Yoon, Sol; Lee, Sin Woo; Jeh, Seong Uk; Hwa, Jeong Seok; Hyun, Jae Seog; Kihan, Chung; Seo, Deok Ha; Lee, Chunwoo; Kam, Sung Chul; Choi, Seung-Myung

doi:10.1111/luts.12255

Cited by 3 publications

(3 citation statements)

References 21 publications

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“…27 The mean BMI was significantly lower in patients with POUR in a study of male patients aged >55 years who had undergone colorectal surgery and that of women undergoing laparoscopic cholecystectomy. 28,29 Furthermore, another study has shown that the time to first spontaneous urination is delayed in patients with a lower BMI after spinal anesthesia. 30 Therefore, further research is needed to better understand the POUR development in patients who are underweight or have a weight in the low range of normal.…”

Section: Discussionmentioning

confidence: 99%

Postoperative Urinary Retention Following General Anesthesia for Endoscopic Nasal Surgery in Men Aged Older Than 60 Years: A Retrospective Study

2021

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Objectives: Postoperative urinary retention (POUR) is influenced by many factors, and its reported incidence rate varies widely. This study aimed to investigate the occurrence and risk factors for urinary retention following general anesthesia for endoscopic nasal surgery in male patients aged >60 years. Methods: A retrospective review of medical records between January 2015 and December 2019 identified 253 patients for inclusion in our study. Age, body mass index (BMI), a history of diabetes/hypertension, American Society of Anesthesiologists (ASA) classification, and urologic history were included as patient-related factors. Urologic history was subdivided into 3 groups according to history of benign prostate hyperplasia (BPH)/lower urinary tract symptoms (LUTS) and current medication. The following was analyzed as perioperative variables for POUR development: duration of anesthesia and surgery; amount of fluid administered; rate of fluid administration; intraoperative requirement for fentanyl, ephedrine, and dexamethasone; postoperative pain; and analgesic use. Preoperatively measured prostate size and uroflowmetry parameters of patients on medication for symptoms were compared according to the incidence of urinary retention. Results: Thirty-seven (15.7%) patients developed POUR. Age (71.4 vs 69.6 years), BMI (23.9 vs 24.9 kg/m2), a history of diabetes/hypertension, ASA classification, and perioperative variables were not significantly different between patients with and without POUR. Only urologic history was identified as a factor affecting the occurrence of POUR ( P = .03). The incidence rate among patients without urologic issues was 5.9%, whereas that among patients with BPH/LUTS history was 19.8%. Among patients taking medication for symptoms, the maximal and average velocity of urine flow were significantly lower in patients with POUR. Conclusions: General anesthesia for endoscopic nasal surgery may be a potent trigger for urinary retention in male patients aged >60 years. The patient’s urological history and urinary conditions appear to affect the occurrence of POUR.

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Section: Discussionmentioning

confidence: 99%

Postoperative Urinary Retention Following General Anesthesia for Endoscopic Nasal Surgery in Men Aged Older Than 60 Years: A Retrospective Study

2021

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“…Obesity is known to have a strong association with BPH/LUTS and prostate in ammation, but its relationship with POUR is obscure [27]. Mean BMI was signi cantly lower in patients with POUR in a study of male patients over the age of 55 who had undergone colorectal surgery, and in a study of women undergoing laparoscopic cholecystectomy [28,29]. In addition, a study has shown that the time to rst spontaneous urination is delayed in patients with a lower BMI after spinal anesthesia [30].…”

Section: Discussionmentioning

confidence: 99%

Urinary Retention Following General Anesthesia for Endoscopic Nasal Surgery in Men Aged Over 60 Years: A Retrospective Study

Lee

Kim

Chung

2020

Preprint

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Background: Postoperative urinary retention (POUR) after anesthesia and surgery is influenced by many factors, and its reported incidence rate varies widely. The aim of this study was to investigate the occurrence and risk factors for urinary retention following general anesthesia for endoscopic nasal surgery in male patients aged over 60 years. Methods: Retrospective review of medical records between January 2015 and December 2019 identified 253 subjects for inclusion in our study. Age, body mass index, history of diabetes/hypertension, American Society of Anesthesiologists classification, and urologic history were included as patient-related factors. Urologic history was subdivided into three groups according to history of benign prostate hyperplasia (BPH)/lower urinary tract symptoms (LUTS) and current medication. The following were analyzed as perioperative variables for the development of POUR: duration of anesthesia and surgery; amount of fluid administered; rate of fluid administration; intraoperative requirement for fentanyl, ephedrine, and dexamethasone; postoperative pain; and analgesic use. Preoperatively measured prostate size and uroflowmetry parameters of patients on medication for symptoms were compared according to the incidence of urinary retention.Results: Thirty-seven patients (15.7%) had urinary retention requiring catheterization. Among analyzed variables, only urologic history was identified as a predisposing factor. The incidence rate among patients without urologic issues was 5.9%. This compared to 19.8% among patients with a history of BPH/LUTS, which was not reduced by taking medical treatment. Among patients taking medication for symptoms, the maximal and average velocity of urine flow were significantly lower in subjects with POUR. Conclusions: General anesthesia for endoscopic nasal surgery is a potent trigger of urinary retention in male patients aged over 60 years. The urological history of the patient was the most important risk factor, and the occurrence of POUR appears to be affected by urinary conditions. The present study is helpful in understanding the occurrence of POUR following general anesthesia in elderly male patients.

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“…However, there is no consensus definition for urinary retention, either postoperatively or otherwise. e incidence of urinary retention is reported to be from 3 to 43% [2][3][4][5].…”

Section: Introductionmentioning

confidence: 99%

Effects of Acupuncture on Hospitalized Patients with Urinary Retention

Chen

Sun

et al. 2020

Evidence-Based Complementary and Alternative Medicine

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Objective. The aim of this study was to investigate the effects of acupuncture on urinary retention and provide treatment suggestions. Methods. A total of 113 hospitalized patients with urinary retention were included in this study. The GV20, CV6, CV4, CV3, ST28, SP6, and SP9 points were selected as the main acupoints. Acupuncture therapy was conducted for 30 minutes per session. The total number of treatment sessions was determined by the symptoms and the length of hospital stay. Bladder postvoid residual urine volume (PVR) was measured pretreatment and posttreatment by ultrasonic. Efficacy defined as spontaneous urination and a residual urine volume <50 mL was measured. Results. The median number of acupuncture treatment sessions was 3 (range, 1–12 times). Acupuncture treatment significantly reduced the PVR (545.1 ± 23.9 mL vs 67.4 ± 10.7 mL; p<0.001). Among the 113 patients, 99 (87.6%) patients were cured and 8 (7.1%) patients were improved of their urinary retention. The remaining 6 (5.3%) patients’ urinary retention did not improve. The effective rate was 94.7%. There was significant difference in the efficacy rate between patients with one urinary catheterization and with two or more. Acupuncture treatment was not associated with side effects. Conclusion. Acupuncture is an effective and safe treatment option for urinary retention. Early application of acupuncture treatment should be considered in clinic, and repeated urinary catheter insertion and removal should be avoided. Our study suggests that a randomized controlled study with a large sample size to verify the efficacy of acupuncture for the treatment of urinary retention is warranted.

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Risk factors for postoperative urinary retention among women who underwent laparoscopic cholecystectomy

Cited by 3 publications

References 21 publications

Postoperative Urinary Retention Following General Anesthesia for Endoscopic Nasal Surgery in Men Aged Older Than 60 Years: A Retrospective Study

Postoperative Urinary Retention Following General Anesthesia for Endoscopic Nasal Surgery in Men Aged Older Than 60 Years: A Retrospective Study

Urinary Retention Following General Anesthesia for Endoscopic Nasal Surgery in Men Aged Over 60 Years: A Retrospective Study

Effects of Acupuncture on Hospitalized Patients with Urinary Retention

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