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Spinal morphine anesthesia and urinary retention

K T Mahan1, J Wang

  • 1Department of Podiatric Surgery, Pennsylvania College of Podiatric Medicine, Philadelphia.

Journal of the American Podiatric Medical Association
|November 1, 1993
PubMed
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Spinal anesthesia for foot and ankle surgery led to a higher incidence of urinary retention compared to general anesthesia. This complication can cause significant patient discomfort and requires careful management strategies.

Area of Science:

  • Anesthesiology
  • Urology
  • Surgical Complications

Background:

  • Spinal anesthesia is frequently used for foot and ankle surgery.
  • While effective, spinal anesthesia can lead to complications such as urinary retention.
  • Urinary retention causes patient discomfort and may necessitate interventions like catheterization, risking infections.

Purpose of the Study:

  • To compare the incidence of urinary retention after spinal anesthesia versus general anesthesia in patients undergoing foot and ankle surgery.
  • To identify predisposing factors for urinary retention.
  • To present recommendations for prevention and management of urinary retention.

Main Methods:

  • A retrospective review of 80 patients undergoing foot and ankle surgery.

Related Experiment Videos

  • Patients were divided into two groups: 40 receiving general anesthesia and 40 receiving spinal anesthesia.
  • Incidence of urinary retention was recorded and compared between groups.

    • Main Results:

    • Twenty-five percent of patients who received spinal anesthesia experienced urinary retention.
    • Only 7.5% of patients who received general anesthesia experienced urinary retention.
    • The study identified predisposing factors and outlined treatment regimens.

    Conclusions:

    • Spinal anesthesia is associated with a significantly higher incidence of urinary retention in foot and ankle surgery patients compared to general anesthesia.
    • Urinary retention poses a risk of prolonged discomfort and potential complications.
    • Proactive management and preventative strategies are crucial for patients receiving spinal anesthesia.