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Prospective Risk Factor Analysis for the Development of Post-operative Urinary Retention Following Ambulatory General

A J Scott^1,2, S E Mason³, A J Langdon⁴

¹St Mary's Hospital, Imperial College Healthcare NHS Trust, 10th Floor QEQM, London, W2 1NY, UK. alasdair.scott03@imperial.ac.uk.

World Journal of Surgery

|June 28, 2018

Summary

Post-operative urinary retention (POUR) is common after day-case surgery. Patients aged 56 or older and those receiving glycopyrrolate are at higher risk for developing POUR.

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Area of Science:

Urology
Anesthesiology
General Surgery

Background:

Post-operative urinary retention (POUR) frequently leads to unplanned admissions after day-case surgery.
POUR negatively impacts patient experience and healthcare resource utilization.

Purpose of the Study:

To prospectively identify risk factors associated with the development of POUR in patients undergoing elective day-case general surgery.

Main Methods:

A prospective study involving 382 adult patients undergoing elective day-case general surgery.
Data collected included patient demographics, comorbidities, medications, surgical details, and anesthetic agents.
Logistic regression analysis was used to determine risk factors for POUR, defined as the need for catheterization or unplanned admission.

Main Results:

The incidence of POUR was 4.2% (16 patients).
Independent risk factors identified were age ≥ 56 years (OR 8.14) and administration of glycopyrrolate (OR 3.48).
Laparoscopic surgery was associated with POUR in unadjusted analysis but not in multivariate analysis.

Conclusions:

Age of 56 years or older is a significant independent risk factor for POUR.
Glycopyrrolate administration is independently associated with an increased risk of POUR.
These findings aid in identifying high-risk patients for targeted interventions to prevent POUR.