Related Experiment Video
Updated: Mar 7, 2026
03:25
Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy
Published on: June 16, 2022
1.5K
Urinary Retention Following Colorectal Surgery.
Ethan J Hoppe1, William P Main, Scott R Kelley
1Division of General Surgery, TriHealth, Cincinnati, Ohio, USA.
The American Surgeon
|February 25, 2017
Summary
Postoperative urinary retention (POUR) affects 12.9% of men over 55 after colorectal surgery. Longer operating times and lower body mass index (BMI) increase POUR risk.
Area of Science:
- Urology
- Colorectal Surgery
- Anesthesiology
Background:
- Postoperative urinary retention (POUR) is a known complication following various surgical procedures.
- Limited literature exists specifically addressing POUR incidence and risk factors after colorectal resections.
Purpose of the Study:
- To determine the incidence of postoperative urinary retention (POUR) in male patients aged 55 and older undergoing elective colorectal resections.
- To identify potential risk factors associated with POUR in this specific patient cohort.
Main Methods:
- Retrospective review of elective colorectal resections performed between June 1, 2014, and June 1, 2015.
- Analysis included patient demographics, ASA score, BMI, surgical details, and fluid/urine output.
- Focus on male patients aged 55+ without pre-existing genitourinary conditions.
Main Results:
- Nine out of seventy patients (12.9%) experienced postoperative urinary retention (POUR).
- POUR was significantly associated with longer operating room (OR) time (324 vs. 239 minutes) and lower median body mass index (BMI) (23.8 vs. 28 kg/m2).
- No significant differences were observed in age, comorbidities, diagnosis, resection type, surgical approach, or fluid administration.
Conclusions:
- The incidence of postoperative urinary retention (POUR) in men aged 55 and older after elective colorectal resection is 12.9%.
- Longer operative duration and lower BMI are identified as risk factors for developing POUR in this population.
Related Concept Videos
01:25Urinary Tract Calculi VI: Surgical Management
708
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
708
01:26Nursing Assessment of the Genitourinary System II: Inspection and Palpation
1.1K
The nursing assessment of the genitourinary (GU) system involves a systematic inspection and palpation to identify abnormalities in the kidneys, bladder, and surrounding structures.InspectionMouth: Inspect for signs of kidney dysfunction, such as stomatitis (inflammation of the mouth) and ammonia breath, which may occur in advanced kidney disease due to the buildup of urea, breaking down into ammonia.Skin: Check for pallor, which could indicate anemia caused by kidney disease. Look for...
1.1K
01:25Endoscopic Procedures II: Colonoscopy
963
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
963
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
915
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
915
01:21Inflammatory Bowel Disease V: Surgical Management
785
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
785
01:28Urinary Tract Calculi V: Nursing Management
382
AssessmentSubjective Data: Obtain a detailed health history, including any recent or chronic urinary tract infections, periods of immobilization, previous episodes of renal calculi, and medical conditions such as gout, benign prostatic hyperplasia, or hyperparathyroidism. Review the medication history for drugs that may influence stone formation, including allopurinol, analgesics, loop diuretics, or thiazide diuretics. Document the use of long-term indwelling catheters and any past surgical...
382