Risk factors for postoperative urinary retention in patients undergoing colorectal surgery: a systematic review and meta-analysis

Huang, Lumei; Yin, Yun; Liao, Yuexia; Liu, Jinteng; Zhu, Kai; Yuan, Xujun; Xue, Liang; Pan, Hailong

doi:10.1007/s00384-022-04281-w

Cited by 13 publications

(5 citation statements)

References 58 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Similar to previous literature [7,33], this study identi ed a history of urological diseases as an independent risk factor for POUR following radical surgery for anal stula. Chang [9] identi ed benign prostatic hyperplasia (BPH) as a risk factor for POUR after elective spine surgery.…”

Section: Mechanistic Analysis and Management Strategiessupporting

confidence: 76%

Effect of incision location and type of fistula on postoperative urinary retention after radical surgery for anal fistula: a retrospective analysis

Li,

Liu,

Huang

et al. 2024

Preprint

View full text Add to dashboard Cite

Background Postoperative urinary retention (POUR) refers to the postoperative symptom of bladder fullness without the ability to urinate autonomously. The etiology of POUR in proctology surgery remains unclear, and the underlying causes are multifactorial. The aim of this study was to determine the risk factors for POUR after radical surgery for anal fistula. Methods We retrospectively reviewed the clinical records of 511 patients who underwent radical surgery for anal fistula under general anesthesia at the China-Japan Friendship Hospital from August 2022 to December 2023. Risk factors for POUR were determined using binary logistic regression analyses. Results 57 patients (11.2%) experienced urinary retention within 48 hours after surgery, while the majority of whom were male (84.4%). Multivariate logistic stepwise regression revealed that a history of urological disease (OR = 6.048; P < 0.001), incisions at position 1 (OR = 2.228; P = 0.046), the presence of high anal fistula (OR = 4.768; P < 0.001), a VAS score ≥ 7 (OR = 2.805; P = 0.010), and a GAD-7 score ≥ 5 (OR = 2.405; P = 0.024) were independent risk factors for POUR after radical surgery for anal fistula. Conclusion POUR is a common complication following radical surgery for anal fistula. Patients with urological disease or high anal fistula or incisions at position 1 are more likely to develop POUR. Surgeons should pay more attention to the surgical techniques of fistulas in the anterior rectum. Better postoperative pain and anxiety management strategies should be provided to reduce the incidence of POUR and avoid irreversible damage caused by persistent bladder overdistension.

show abstract

Section: Mechanistic Analysis and Management Strategiessupporting

confidence: 76%

Effect of incision location and type of fistula on postoperative urinary retention after radical surgery for anal fistula: a retrospective analysis

Li,

Liu,

Huang

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

“…Concurrent diseases such as benign prostatic hyperplasia, urological diseases, diabetes mellitus, stroke and multiple sclerosis are predisposing factors [ 4 ]. The prolonged duration of the surgery is related to its complexity, and increases the risk of bladder dysfunction [ 5 ]. Catheterization is a common treatment for POUR.…”

Section: Introductionmentioning

confidence: 99%

Transcutaneous electrical acupoint stimulation for prevention of postoperative urinary retention: A systematic review

Huang,

Liang,

et al. 2024

Heliyon

View full text Add to dashboard Cite

“…After surgical therapy for severe POP, patients may experience lower urinary tract symptoms (LUTS) such as dysuria, urine retention, incontinence, frequency, etc [10] . POUR is described by incontinence or dysuria after the removal of the catheter, and the catheter needs to be reinserted to assist in urination [11] .…”

Section: Introductionmentioning

confidence: 99%

Predictors of postoperative urinary retention after severe pelvic organ prolapse

Zhang

Xia

2023

Preprint

View full text Add to dashboard Cite

Objective: To investigate the rate of postoperative urinary retention (POUR) and to identify factors associated with POUR of severe pelvic organ prolapse (POP). Methods: A retrospective chart review was conducted for 194 patients who were diagnosed with severe POP. Among them, 152 patients underwent total pelvic floor reconstruction and 42 patients underwent traditional vaginal hysterectomy and vaginal wall repair. POUR was defined as a need for the post-void residual urine volume was＞150mL who should be catheterization subsequent to the removal of the indwelling urethral catheter. Results: POUR was reported in 51 women (26.3%). The incidence of POUR was 28.3% of patients who underwent the total pelvic floor reconstruction. And was 19.0% after traditional vaginal hysterectomy and vaginal wall repair. Crude analysis revealed a significant association between the following variables and the risk of POUR: Aa, Ba, C by POP-Q exam, POP-Q staging, diabetes mellitus, Preoperative post-void residual volume (PVR) , bladder neck mobility, preoperative incontinence (P < 0.05) . POP-Q Staging (odds ratio, 4.79; 95% confidence interval, 1.025-22.383; P=0.046), PVR (odds ratio,1.054; 95% confidence interval, 1.03-1.079; P＜0.01), bladder neck mobility (odds ratio, 1.078; 95% confidence interval,1.021-1.138; P = 0.007) and complaint of incontinence (odds ratio, 2.686; 95% confidence interval,1.101-6.553; P = 0.03) were identified as the significant predictor of POUR In the logistic regression analysis. Conclusion: POP-Q staging, Preoperative post-void residual volume (PVR), bladder neck mobility and complaint of incontinence were significant predictors for POUR after severe pelvic organ prolapse surgery.

show abstract

Risk factors for postoperative urinary retention in patients undergoing colorectal surgery: a systematic review and meta-analysis

Cited by 13 publications

References 58 publications

Effect of incision location and type of fistula on postoperative urinary retention after radical surgery for anal fistula: a retrospective analysis

Effect of incision location and type of fistula on postoperative urinary retention after radical surgery for anal fistula: a retrospective analysis

Transcutaneous electrical acupoint stimulation for prevention of postoperative urinary retention: A systematic review

Predictors of postoperative urinary retention after severe pelvic organ prolapse

Contact Info

Product

Resources

About