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Urinary Retention in Surgical Patients
Urszula Kowalik1, Mark K Plante2
1University of Vermont Medical Center, 111 Colchester Avenue, Mailstop 222WP2, Burlington, VT 05401, USA.
The Surgical Clinics of North America
|June 5, 2016
Summary
Urinary retention is a common postoperative issue. Identifying risk factors and prompt bladder decompression are key to preventing long-term complications and improving outcomes.
Area of Science:
- Urology
- Surgical Complications
- Postoperative Care
Background:
- Urinary retention is a significant postoperative complication.
- Prompt bladder decompression is crucial for favorable long-term outcomes.
- Understanding risk factors aids in prevention and management.
Purpose of the Study:
- To identify patient and surgery-related risk factors for postoperative urinary retention.
- To outline current management strategies for acute and chronic urinary retention.
Main Methods:
- Review of patient factors (age, benign prostatic hyperplasia, lower urinary tract symptoms).
- Analysis of surgery-related factors (operative time, fluid administration, anesthesia type, procedure type).
- Evaluation of treatment modalities including catheterization and pharmacotherapy.
Main Results:
- Patient factors like age and benign prostatic hyperplasia increase risk.
- Surgical factors such as prolonged operative time and certain anesthesia types contribute to retention.
- Foley catheter placement is the primary acute treatment.
Conclusions:
- Risk factor identification is vital for preventing urinary retention.
- Alpha-blockers improve voiding trial success in men.
- Transurethral prostatectomy is the gold standard for chronic retention management.
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