Urinary Retention following Colorectal Surgery
| Autor: | Alex K Saba, Ethan J. Hoppe, Lala R. Hussain, William P L Main, Scott R. Kelley, Erik M. Dunki-Jacobs |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Genitourinary system business.industry Urinary retention media_common.quotation_subject Incidence (epidemiology) Retrospective cohort study General Medicine 030230 surgery Urination Colorectal surgery Surgery 03 medical and health sciences 0302 clinical medicine Colon surgery 030220 oncology & carcinogenesis Medicine medicine.symptom business Body mass index media_common |
| Zdroj: | The American Surgeon. 83:3-7 |
| ISSN: | 1555-9823 0003-1348 |
| DOI: | 10.1177/000313481708300103 |
| Popis: | Literature on postoperative urinary retention (POUR) after colorectal resections is limited. The aim of our study was to evaluate the incidence of and risk factors for POUR after elective colorectal resections in men ≥55 years without genitourinary issues. A retrospective review of elective colorectal resections (June 1, 2014 to June 1, 2015) in men ≥55 years without genitourinary conditions was performed at our institution. Patient demographics, American Society of Anesthesiologist score, body mass index (BMI), surgical history, type of disease, extent of resection, surgical approach, operating room (OR) time, volume of OR fluids administered, and intra- and postoperative urine output were included for analysis. Seventy patients were identified. Nine (12.9%) experienced POUR. Patients with POUR experienced longer OR time (324 vs 239 minutes; P = 0.048) and had a lower median BMI (23.8 vs 28 kg/m2; P = 0.038). There were no significant differences in regards to age, comorbidities, diagnosis, type of resection, surgical approach, intravenous fluids administered operatively, or postoperative urine output. The incidence of POUR in male patients at least 55 years of age after elective colorectal resection in our institution was 12.9 per cent. Longer operative time and lower BMI were associated with a higher incidence of POUR. |
| Databáze: | OpenAIRE |
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