Urinary retention after non-urological surgeries: Management patterns and predictors of prognosis
Objective:: Urinary retention after non-urological surgery is a common morbidity, yet its etiology and treatment approaches are still a matter of debate. The primary aims of this study are to evaluate the management of urinary retention after non-urological surgeries, determine the predictors of pr...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-09-01
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| Series: | Continence |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2772973722009869 |
| _version_ | 1811243080023539712 |
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| author | Ersin Köseoğlu Ömer Acar Mert Kılıç Fadimana Bozkurt Tekkalan Tufan Tarcan |
| author_facet | Ersin Köseoğlu Ömer Acar Mert Kılıç Fadimana Bozkurt Tekkalan Tufan Tarcan |
| author_sort | Ersin Köseoğlu |
| collection | DOAJ |
| description | Objective:: Urinary retention after non-urological surgery is a common morbidity, yet its etiology and treatment approaches are still a matter of debate. The primary aims of this study are to evaluate the management of urinary retention after non-urological surgeries, determine the predictors of prognosis, and report follow-up data. Methods:: Patients who were referred to the urology clinic at a single center due to postoperative urinary retention between December 2014 and November 2021 were included. Demographical, clinical, and surgical parameters were recorded. In all patients, a urethral catheter was kept in-situ for at least 5 days after urinary retention. In case of persistent urinary retention after catheter removal, clean intermittent catheterization (CIC) was recommended. Results of the patients who spontaneously regained micturition after conservative treatment and those with persistent urinary retention were compared. Results:: Among 95 patients, the median age was 65 (24–90) years. In 75 patients (78.9%), spontaneous micturition returned with conservative management (Group 1). Twenty patients (21.1%) required CIC due to persistent urinary retention (Group 2). The percentages of males in Group 1 and 2 were 81.3% and 50% respectively (p<0.05). The ratio of non-supine positioning in Group 1 and Group 2 were, 10.6% (8/75) and 35% (7/20), respectively (p=0.02). Female gender and non-supine operative position remained significant predictors of persistent urinary retention after conservative treatment with odds ratios of 3.5 and 3.6, respectively (Confidence intervals, 1.2–10 and 1–12.1, p= 0.02 and 0.04, respectively). During a median follow-up duration of 36 (2–86) months, only 5 patients (20%) stopped doing CIC and voided spontaneously. The median CIC duration of these 5 patients was 6 (1–9) months. Conclusion:: The majority of the patients who developed urinary retention after non-urological surgeries regained spontaneous micturition with conservative management. Female gender and non-supine operative positioning were independent risk factors for persistent urinary retention. In patients with persistent urinary retention, spontaneous micturition could be expected to return in approximately 6 months. |
| first_indexed | 2024-04-12T14:01:04Z |
| format | Article |
| id | doaj.art-8ada2b5615f8420d97c9179aae650bd1 |
| institution | Directory Open Access Journal |
| issn | 2772-9737 |
| language | English |
| last_indexed | 2024-04-12T14:01:04Z |
| publishDate | 2022-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Continence |
| spelling | doaj.art-8ada2b5615f8420d97c9179aae650bd12022-12-22T03:30:12ZengElsevierContinence2772-97372022-09-013100507Urinary retention after non-urological surgeries: Management patterns and predictors of prognosisErsin Köseoğlu0Ömer Acar1Mert Kılıç2Fadimana Bozkurt Tekkalan3Tufan Tarcan4Koç University School of Medicine, Department of Urology, Istanbul, TurkeyKoç University School of Medicine, Department of Urology, Istanbul, TurkeyVKF American Hospital, Urology Clinic, Istanbul, TurkeyVKF American Hospital, Urology Clinic, Istanbul, TurkeyKoç University School of Medicine, Department of Urology, Istanbul, Turkey; Marmara University School of Medicine, Department of Urology, Istanbul, Turkey; Correspondence to: Koç University School of Medicine, Department of Urology, 34010, Zeytinburnu/ Istanbul, TurkeyObjective:: Urinary retention after non-urological surgery is a common morbidity, yet its etiology and treatment approaches are still a matter of debate. The primary aims of this study are to evaluate the management of urinary retention after non-urological surgeries, determine the predictors of prognosis, and report follow-up data. Methods:: Patients who were referred to the urology clinic at a single center due to postoperative urinary retention between December 2014 and November 2021 were included. Demographical, clinical, and surgical parameters were recorded. In all patients, a urethral catheter was kept in-situ for at least 5 days after urinary retention. In case of persistent urinary retention after catheter removal, clean intermittent catheterization (CIC) was recommended. Results of the patients who spontaneously regained micturition after conservative treatment and those with persistent urinary retention were compared. Results:: Among 95 patients, the median age was 65 (24–90) years. In 75 patients (78.9%), spontaneous micturition returned with conservative management (Group 1). Twenty patients (21.1%) required CIC due to persistent urinary retention (Group 2). The percentages of males in Group 1 and 2 were 81.3% and 50% respectively (p<0.05). The ratio of non-supine positioning in Group 1 and Group 2 were, 10.6% (8/75) and 35% (7/20), respectively (p=0.02). Female gender and non-supine operative position remained significant predictors of persistent urinary retention after conservative treatment with odds ratios of 3.5 and 3.6, respectively (Confidence intervals, 1.2–10 and 1–12.1, p= 0.02 and 0.04, respectively). During a median follow-up duration of 36 (2–86) months, only 5 patients (20%) stopped doing CIC and voided spontaneously. The median CIC duration of these 5 patients was 6 (1–9) months. Conclusion:: The majority of the patients who developed urinary retention after non-urological surgeries regained spontaneous micturition with conservative management. Female gender and non-supine operative positioning were independent risk factors for persistent urinary retention. In patients with persistent urinary retention, spontaneous micturition could be expected to return in approximately 6 months.http://www.sciencedirect.com/science/article/pii/S2772973722009869Urinary retentionManagementPostoperative care |
| spellingShingle | Ersin Köseoğlu Ömer Acar Mert Kılıç Fadimana Bozkurt Tekkalan Tufan Tarcan Urinary retention after non-urological surgeries: Management patterns and predictors of prognosis Continence Urinary retention Management Postoperative care |
| title | Urinary retention after non-urological surgeries: Management patterns and predictors of prognosis |
| title_full | Urinary retention after non-urological surgeries: Management patterns and predictors of prognosis |
| title_fullStr | Urinary retention after non-urological surgeries: Management patterns and predictors of prognosis |
| title_full_unstemmed | Urinary retention after non-urological surgeries: Management patterns and predictors of prognosis |
| title_short | Urinary retention after non-urological surgeries: Management patterns and predictors of prognosis |
| title_sort | urinary retention after non urological surgeries management patterns and predictors of prognosis |
| topic | Urinary retention Management Postoperative care |
| url | http://www.sciencedirect.com/science/article/pii/S2772973722009869 |
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