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[Urination disorders following general surgery]

A Sigel, K M Schrott, I Hecht

    Zeitschrift Fur Urologie Und Nephrologie
    |December 1, 1978
    PubMed
    Summary
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    Postoperative urinary dysfunction stems from anesthesia, surgical trauma, or nerve damage, affecting 25% of patients. Treatment involves catheterization, medication, and surgical correction for bladder outlet issues.

    Area of Science:

    • Urology
    • Anesthesiology
    • General Surgery

    Context:

    • Postoperative urinary dysfunction is a common complication following general surgical procedures.
    • It affects approximately 25% of all operated individuals, with children being rarely affected.
    • Operations on the lower body significantly increase the risk compared to upper body or extremity surgeries.

    Purpose:

    • To identify and categorize the primary causes of micturition disturbances after general surgery.
    • To elucidate the mechanisms by which anesthesiological and operative traumas impact bladder function.
    • To outline therapeutic strategies for managing postoperative urinary dysfunction.

    Summary:

    • Three main causes of postoperative micturition disturbance are identified: anesthesiological trauma affecting the central nervous system and bladder ganglia, operative trauma to the abdomino-pelvic micturition reflex, and direct sacral plexus lesions.

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  • These traumas, individually or combined, can decompensate pre-existing neuropathic or obstructive conditions of the urinary bladder, often exacerbated by systemic insufficiencies.
  • Therapeutic approaches include judicious catheterization, parasympathomimetic and sympatholytic medications, and transurethral correction for outlet obstructions.

    • Impact:

    • Understanding these causes can lead to improved patient management and reduced incidence of urinary dysfunction post-surgery.
    • This knowledge aids in developing targeted preventative strategies and treatment protocols.
    • Highlights the need for careful consideration of bladder function in surgical planning and postoperative care.