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[Urinary complications after anorectal surgery]
T Iusuf1, V Sârbu, C Cristache
1Clinica de Chirurgie II, Spitalul Clinic Judeţean Constanţa.
Chirurgia (Bucharest, Romania : 1990)
|February 12, 2004
Summary
Urinary complications affect 26.7% of patients post-anorectal surgery, particularly men aged 41-50 after hemorrhoidectomy. Management involves reassurance, parasympathomimetic drugs, delayed catheterization, and fluid restriction.
Area of Science:
- Urology
- Colorectal Surgery
Context:
- Anorectal operations carry a risk of postoperative urinary complications.
- Understanding these complications is crucial for patient care and surgical outcomes.
Purpose:
- To investigate the prevalence and characteristics of urinary complications following anorectal surgery.
- To identify risk factors and suggest management strategies for these complications.
Summary:
- A study of 273 patients revealed a 26.7% prevalence of urinary complications post-anorectal surgery.
- Men aged 41-50, especially after hemorrhoidectomy, were most affected.
- Nervous reflexes from operative trauma/rectal distension are implicated; management includes reassurance, medication, delayed catheterization (18h), and fluid restriction.
Impact:
- Highlights the significant incidence of urinary issues after anorectal procedures.
- Provides insights into patient demographics and surgical factors associated with these complications.
- Offers evidence-based recommendations for optimizing patient management and reducing urinary retention and catheterization needs.