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Urinary retention after operations for benign anorectal diseases
S Zaheer1, W T Reilly, J H Pemberton
1Division of Colon & Rectal Surgery, Mayo Clinic and Mayo Foundation, Rochester, Minnesota 55905, USA.
Diseases of the Colon and Rectum
|June 30, 1998
Summary
Urinary retention is a common complication after anorectal surgery, particularly hemorrhoidectomy. Disease severity and patient factors like age influence retention risk, prolonging hospital stays.
Area of Science:
- Colorectal Surgery
- Urology
- Postoperative Complications
Background:
- Urinary retention is a recognized postoperative complication.
- Understanding its incidence and risk factors after anorectal surgery is crucial for patient management.
Purpose of the Study:
- To determine the incidence of urinary retention after operations for benign anorectal diseases.
- To identify independent risk factors associated with postoperative urinary retention.
Main Methods:
- A retrospective review of 1,026 consecutive operations for benign anorectal diseases was conducted.
- Logistic regression analysis was used to identify risk factors in patients undergoing hemorrhoidectomy (Group I) and other procedures (Group II).
Main Results:
- The overall incidence of urinary retention was 16%, with hemorrhoidectomy having a 34% rate.
- Independent risk factors for Group I included extensive excision, higher analgesia requirements, and male gender.
- For Group II, risk factors included multiple operations, older age, and intra/postoperative fluid administration.
Conclusions:
- Urinary retention is a common complication following anorectal surgery, significantly increasing hospital stay.
- Disease severity and patient-specific factors are key risk factors for urinary retention.
- Identifying these factors can aid in proactive patient care and potentially reduce complication rates.