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Urinary retention after elective cholecystectomy.
H Kulaçoğlu1, C Dener, N A Kama
1Department of Surgery, Ankara Numune Teaching and Research Hospital, Ankara, Turkey.
American Journal of Surgery
|October 6, 2001
Summary
Urinary retention is rare after cholecystectomy. Most patients with postoperative micturition difficulty can void with non-invasive measures, avoiding catheterization.
Area of Science:
- Surgical outcomes
- Urology
- Gastroenterology
Background:
- Limited data exists on urinary retention post-cholecystectomy.
- Elective cholecystectomy is a common surgical procedure.
Purpose of the Study:
- To prospectively assess the incidence of urinary retention after elective cholecystectomy.
- To identify risk factors and effective management strategies for postoperative urinary retention.
Main Methods:
- A prospective study included 140 patients (121 female, 19 male) undergoing cholecystectomy.
- 107 patients had laparoscopic cholecystectomy, and 33 had open cholecystectomy.
- Data collected on patient demographics, surgical approach, fluid administration, and medication use.
Main Results:
- Postoperative micturition difficulty occurred in 10 patients (7.1%).
- Only one patient required catheterization (0.7%), with no difference based on gender or age.
- The open approach had a higher incidence of micturition difficulty (15.2%) compared to the laparoscopic approach (4.7%; P=0.04).
- Large fluid volumes and meperidine use were associated with micturition problems.
Conclusions:
- Urinary retention is an uncommon complication following elective cholecystectomy.
- Non-invasive helping measures are effective for managing postoperative micturition difficulty.
- Urethral catheterization should be reserved as a last resort.