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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
PubMed
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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.

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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.