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Postoperative urinary retention. I. Incidence and predisposing factors
Scandinavian Journal of Urology and Nephrology
|January 1, 1986
Summary
Postoperative urinary retention affects 3.8% of surgical patients, particularly older individuals and those undergoing specific surgeries. Identifying risk factors and history of voiding dysfunction is key to prevention.
Area of Science:
- Urology
- Surgical Complications
- Anesthesiology
Background:
- Postoperative urinary retention (PUR) is a recognized complication following surgical procedures.
- Its incidence and contributing factors require further investigation to optimize patient outcomes.
Purpose of the Study:
- To determine the incidence of postoperative urinary retention in surgical patients.
- To identify risk factors and common causes associated with its development.
- To evaluate potential preventive strategies.
Main Methods:
- Retrospective analysis of 5220 surgical patients.
- Data collection on patient demographics, surgical procedures, medications, and voiding history.
- Statistical analysis to identify factors associated with urinary retention.
Main Results:
- 198 patients (3.8%) developed postoperative urinary retention.
- Incidence increased with age and was highest after thoracotomies and hip replacement surgery.
- Abnormal voiding history was present in 80% of affected patients; common causes included bladder over-distension and certain medications.
Conclusions:
- Postoperative urinary retention is an underestimated and largely preventable complication.
- Preoperative assessment of voiding history and addressing infravesical obstruction are crucial.
- Prophylactic catheterization may be beneficial for high-risk patients during emergency surgery.