The incidence and risk factors for postoperative urinary retention in neurosurgical patients

Alsaidi, Mohammed; Guanio, Joanne; Basheer, Azam; Schultz, Lonni; Abdulhak, Muwaffak; Nerenz, David R.; Chedid, Mokbel; Seyfried, Donald

doi:10.4103/2152-7806.111088

Cited by 21 publications

(29 citation statements)

References 21 publications

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“…The findings validate a process for assisting the registered nurses to easily identify the number of catheter days and education to reinforce the importance of reporting the number of catheter days at shift change is needed to further reduce the total number of catheter days experienced by the patient. (Alsaidi et al, 2013) In my study almost 49% of the study group felt the presence of an IUC was convenient, while 13% were uncertain about their perceptions related to the convenience of an IUC. The study participants remember which of their patients have indwelling urinary catheters, but 32.1% of them do not remember to remind the physicians that their patients have indwelling urinary catheters.…”

Section: Discussionmentioning

confidence: 72%

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Assessment of Perceptions and Practices of the Nurses to Prevent Indwelling Catheter Associated Infection; Jinnah Hospital Lahore, Pakistan

Anwar

Nawaz

Afzal

et al. 2017

Int J Appl Sci Biotechnol

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Nursing is an art science and an essential health care profession in which the skilled knowledgeable persons are committed to provide care to sick peoples and strive for the, protection and promotion of health and prevention against diseases and helps to minimize the risk and risk related injuries. Urinary tract infections are very common infection in the hospital settings almost responsible for 40% nosocomial infections. All the urinray tract infection is expected that approximately more than 70% infection reported because of indewelling cathters.Objectives: To assess the perceptions of nurses regarding indwelling urinary catheter and its care. To assess the practices of nurses to prevent the indwelling catheter related urinary tract infection. Methodology: Descriptive cross sectional design and data was collected through a five point Likert scale questioner. Study population was the nursing staff from the Jinnah hospital Lahore. Sample size was 184 nurses from all indoor departments of the Jinnah Hospital Lahore. Results: The findings show that the practice and perceptions scores of the registered nurses' in the study group are insignificant with age, qualification and experience (i.e., p-value > 0.05) with the evidence-based guidelines for prevention of catheter associated urinary tract infection. Results of study indicated insignificant relationship between registered nurses' practice and perceptions regarding the indwelling urinary catheter associated infection.

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Section: Discussionmentioning

confidence: 72%

“…The incidence of post-operative urinary retention is indicated catheterization which is considered as an important factor of urinary tract infection. (Alsaidi et al, 2013).…”

Section: Research Articlementioning

confidence: 99%

Assessment of Perceptions and Practices of the Nurses to Prevent Indwelling Catheter Associated Infection; Jinnah Hospital Lahore, Pakistan

Anwar

Nawaz

Afzal

et al. 2017

Int J Appl Sci Biotechnol

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“…Alsaidi et al examined neurosurgical patients to help elucidate the etiology, incidence, and risk factors of POUR in neurosurgical patients. 5 The study examined 137 neurosurgical patients prospectively after undergoing neurosurgical intervention particularly in the spine. In the study, 118 (86%) underwent spinal surgery with 45 patients admitted for cervical/thoracic surgery and 73 patients admitted for lumbar spinal surgery.…”

Section: Resultsmentioning

confidence: 99%

Spinal surgery and urinary retention: A review of the literature

Kopel

2020

Journal of Clinical Urology

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Objective: Postoperative urinary retention is a common complication for patients recovering from general anesthesia or invasive surgery near the spinal column. However, no study has systematically reviewed the incidence of postoperative urinary retention for spinal surgeries performed at the cervical, thoracic, or lumbar spinal regions. In this review, we critically analyze and summarize the known literature on the incidence and risk factors associated with postoperative urinary retention after spinal surgery. Methods: A comprehensive literature review was performed at the end of September 2019 within the PubMed database. Results: The average incidence of postoperative urinary retention from nine of the 10 studies was 17.2% with one paper that did not report on postoperative urinary retention incidence. Furthermore, age, male gender, location and history of spinal surgery, duration of surgery, benign prostatic hypertrophy, and Foley catheter were reported as major risk factors for postoperative urinary retention and spinal surgery. Conclusion: Overall, spinal cord and postoperative urinary retention remains a poorly understood area requiring further investigation into the incidence, risk factors, and surgical methods influence postoperative urinary retention and post-operative outcomes. We believe an overview of such data can help revise guidelines for the management of postoperative urinary retention and raise awareness of its prevalence in elderly patients undergoing spinal surgery. Level of evidence: Not applicable for this multicentre audit.

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“…The most common surgeries that might cause POUR are the abdominal, anorectal, colorectal, urologic, and gynecologic ones. Surgery-induced alterations in sacral reflex can cause contraction of the bladder sphincter and bring about POUR (5). After surgeries on other parts of the body, POUR may happen due to sedation, anesthesia, decreased mobility, fluid overload, medications, pain, and anxiety (7).…”

Section: Introductionmentioning

confidence: 99%

“…Moreover, UR can cause pain and anxiety, prolong hospital stay, and increase healthcare costs (4, 5). …”

Section: Introductionmentioning

confidence: 99%

Comparing the Effects of Hot Pack and Lukewarm-Water-Soaked Gauze on Postoperative Urinary Retention; A Randomized Controlled Clinical Trial

Afazel

Jalali

Sadat

et al. 2014

Nurs Midwifery Stud

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Background: Urinary retention is a common postoperative complication that mandates urinary catheterization. Urinary catheterization is associated with different physical, mental, and financial problems for both patients and healthcare systems. The patient inconvenience, urinary tract infections, and increase in hospital stay and expenses are common problems of urinary retention and urinary catheterization. Therefore, alternative ways of relieving urinary retention, preferably noninvasive interventions, are of great interest. Objectives: The aim of this study was to compare the effects of placing hot pack and lukewarm-water-soaked gauze on the suprapubic region on male patients with postoperative urinary retention. Patients and Methods:This was a three-group, randomized, controlled trial. A convenience sample of 126 male patients who had undergone general, orthopedic, or urologic surgeries were recruited. The block randomization method was used for allocating patients to either the two experimental groups (the hot pack and the lukewarm-water-soaked gauze groups) or the control one. Patients in the experimental groups were treated by placing either hot pack or lukewarm-water-soaked gauze on the suprapubic region. All patients were monitored for 20 minutes for urinary retention relief. If they did not experience urinary retention relief (starting urine flow and bladder evacuate), urinary catheterization would be performed. The data was collected using information sheet. Elimination of urinary retention was compared among study groups. The one-way analysis of variance and the Chi-square tests were used for analyzing data. Results: Respectively, 59.5%, 71.4%, and 7.1% of patients in the hot pack, the soaked gauze, and the control groups experienced relief from urinary retention and the bladder was emptied. There was a significant difference among study groups in percentage of patients who experienced urinary retention relief. However, the difference between the two experimental groups was not significant. The time to urinary retention relief in hot pack, soaked gauze, and control groups was 15.45 ± 3.15, 13.83 ± 3.80, and 14.59 ± 3.29 minutes, respectively. The difference among the study groups in time to urinary retention relief was not statistically significant. Conclusions: Both the lukewarm-water-soaked gauze and the hot pack techniques had significant effects on postoperative urinary retention and significantly reduced the need for urinary catheterization. Using these two simple and cost-effective techniques for managing postoperative urinary retention is recommended.

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The incidence and risk factors for postoperative urinary retention in neurosurgical patients

Cited by 21 publications

References 21 publications

Assessment of Perceptions and Practices of the Nurses to Prevent Indwelling Catheter Associated Infection; Jinnah Hospital Lahore, Pakistan

Assessment of Perceptions and Practices of the Nurses to Prevent Indwelling Catheter Associated Infection; Jinnah Hospital Lahore, Pakistan

Spinal surgery and urinary retention: A review of the literature

Comparing the Effects of Hot Pack and Lukewarm-Water-Soaked Gauze on Postoperative Urinary Retention; A Randomized Controlled Clinical Trial

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