Urinary retention after lipoabdominoplasty: case report
Introduction: Postoperative urinary retention may predispose to permanent bladder damage. Risk factors include type of anesthesia, type of surgery, and use of anticholinergics, analgesics, and opioids. Once the lesion is established, complementary urodynamic tests are essential for etiological diagn...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cirurgia Plástica
2023-08-01
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| Series: | Revista Brasileira de Cirurgia Plástica |
| Subjects: | |
| Online Access: | http://www.rbcp.org.br/export-pdf/3325/1983-5175-rbcp-38-02-e0742-en.pdf |
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| author | Taisa Szolomicki Caio Engelbrecht de Souza Semer Ali Mahmoud Michell Fayad André Haddad Osvaldo Saldanha Filho Osvaldo Saldanha |
| author_facet | Taisa Szolomicki Caio Engelbrecht de Souza Semer Ali Mahmoud Michell Fayad André Haddad Osvaldo Saldanha Filho Osvaldo Saldanha |
| author_sort | Taisa Szolomicki |
| collection | DOAJ |
| description | Introduction: Postoperative urinary retention may predispose to permanent bladder damage. Risk factors include type of anesthesia, type of surgery, and use of anticholinergics, analgesics, and opioids. Once the lesion is established, complementary urodynamic tests are essential for etiological diagnosis and treatment. The objective of this study is to report a case of a patient with urinary retention in the postoperative period of lipoabdominoplasty.
Case Report: 27-year-old female patient, without comorbidities or use of continuous medication. She underwent lipoabdominoplasty and evolved postoperatively with urinary retention and bladder distention, diagnosed as detrusor contractility and sensitivity deficit in the urodynamic study. She was maintained in outpatient follow-up with the surgical team and Urology, with a progressive reduction in urinary catheter use and complete removal in eight months of follow-up.
Discussion: The objective of aesthetic plastic surgery is to improve the physical appearance of the body. It is subject to complications like other surgical procedures, and pain seems to be the most frequent. Urinary retention may be secondary to the use of opioids, and its diagnosis in the postoperative period of lipoabdominoplasty still has some obstacles. Plication of the rectus muscle diastasis, liposuction, and the use of a compressive abdominal belt make it difficult to identify a possible bladder distention. An episode of bladder overdistention can result in significant morbidity. Conclusion: The present report demonstrated the good evolution of a patient who developed urinary retention in the postoperative period of lipoabdominoplasty. The main diagnostic hypothesis was that it was secondary to the use of opioids. |
| first_indexed | 2024-03-09T08:21:55Z |
| format | Article |
| id | doaj.art-9dcf9aee51e44d4da78b40e87b343731 |
| institution | Directory Open Access Journal |
| issn | 1983-5175 2177-1235 |
| language | English |
| last_indexed | 2024-03-09T08:21:55Z |
| publishDate | 2023-08-01 |
| publisher | Sociedade Brasileira de Cirurgia Plástica |
| record_format | Article |
| series | Revista Brasileira de Cirurgia Plástica |
| spelling | doaj.art-9dcf9aee51e44d4da78b40e87b3437312023-12-02T21:45:37ZengSociedade Brasileira de Cirurgia PlásticaRevista Brasileira de Cirurgia Plástica1983-51752177-12352023-08-01382010410.5935/2177-1235.2023RBCP0742-ENUrinary retention after lipoabdominoplasty: case reportTaisa Szolomicki0Caio Engelbrecht de Souza1Semer Ali Mahmoud2Michell Fayad André Haddad3Osvaldo Saldanha Filho4Osvaldo Saldanha5Serviço de Cirurgia Plástica Osvaldo Saldanha, Santos, SP, BrazilServiço de Cirurgia Plástica Osvaldo Saldanha, Santos, SP, BrazilServiço de Cirurgia Plástica Osvaldo Saldanha, Santos, SP, BrazilUniversidade Santo Amaro, São Paulo, SP, BrazilServiço de Cirurgia Plástica Osvaldo Saldanha, Santos, SP, BrazilServiço de Cirurgia Plástica Osvaldo Saldanha, Santos, SP, BrazilIntroduction: Postoperative urinary retention may predispose to permanent bladder damage. Risk factors include type of anesthesia, type of surgery, and use of anticholinergics, analgesics, and opioids. Once the lesion is established, complementary urodynamic tests are essential for etiological diagnosis and treatment. The objective of this study is to report a case of a patient with urinary retention in the postoperative period of lipoabdominoplasty. Case Report: 27-year-old female patient, without comorbidities or use of continuous medication. She underwent lipoabdominoplasty and evolved postoperatively with urinary retention and bladder distention, diagnosed as detrusor contractility and sensitivity deficit in the urodynamic study. She was maintained in outpatient follow-up with the surgical team and Urology, with a progressive reduction in urinary catheter use and complete removal in eight months of follow-up. Discussion: The objective of aesthetic plastic surgery is to improve the physical appearance of the body. It is subject to complications like other surgical procedures, and pain seems to be the most frequent. Urinary retention may be secondary to the use of opioids, and its diagnosis in the postoperative period of lipoabdominoplasty still has some obstacles. Plication of the rectus muscle diastasis, liposuction, and the use of a compressive abdominal belt make it difficult to identify a possible bladder distention. An episode of bladder overdistention can result in significant morbidity. Conclusion: The present report demonstrated the good evolution of a patient who developed urinary retention in the postoperative period of lipoabdominoplasty. The main diagnostic hypothesis was that it was secondary to the use of opioids.http://www.rbcp.org.br/export-pdf/3325/1983-5175-rbcp-38-02-e0742-en.pdfurinary retentionlipoabdominoplastyurinary bladder, underactivepostoperative complicationsanalgesics, opioid |
| spellingShingle | Taisa Szolomicki Caio Engelbrecht de Souza Semer Ali Mahmoud Michell Fayad André Haddad Osvaldo Saldanha Filho Osvaldo Saldanha Urinary retention after lipoabdominoplasty: case report Revista Brasileira de Cirurgia Plástica urinary retention lipoabdominoplasty urinary bladder, underactive postoperative complications analgesics, opioid |
| title | Urinary retention after lipoabdominoplasty: case report |
| title_full | Urinary retention after lipoabdominoplasty: case report |
| title_fullStr | Urinary retention after lipoabdominoplasty: case report |
| title_full_unstemmed | Urinary retention after lipoabdominoplasty: case report |
| title_short | Urinary retention after lipoabdominoplasty: case report |
| title_sort | urinary retention after lipoabdominoplasty case report |
| topic | urinary retention lipoabdominoplasty urinary bladder, underactive postoperative complications analgesics, opioid |
| url | http://www.rbcp.org.br/export-pdf/3325/1983-5175-rbcp-38-02-e0742-en.pdf |
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