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Abstract
Purpose
We performed this study to analyze the risk factors that are related to acute urinary retention in patients undergoing non-urogenital surgery.
Materials and Methods
We retrospectively analyzed the records of 127 patients who were referred to the urology department because of acute urinary retention after non-urogenital surgery at our institution between January 2004 and December 2005, and we also recuited 258 consecutive patients who were undergoing non-urogenital surgery at our institution during the same period as a control group. Multiple parameters were divided into patient factors, surgical factors and anesthetic factors, and these factors were analyzed using univariate and multivariate regression analyses between the non-retention and the retention groups.
Results
On the multivariate analysis, age (≥50 years, p=0.037; odds ratio (OR)=2.8), gender (women, p=0.028; OR=2.5), comorbidity with diabetes mellitus (p=0.003; OR=5.8) were found to independently increase the risk of acute urinary retention. After re-adjustment for the patients' gender, age, body mass index, diabetes, hypertension, the inability to self-ambulate after the removal of a Foley catheter (p=0.001; adjusted odds ratio (AOR)= 3.8), the amount of intraoperative fluids (≥4,000ml, p=0.017; AOR=4.8) were found to independently increase the risk of acute urinary retention.
Conclusions
The possibility of acute urinary retention for patients undergoing non-urogenital surgery and who have these risk factors is high; therefore, carefully managing urination for the prevention of postoperative acute urinary retention is needed. It is also necessary to make doctors in other departments recognize the importance of this issue.
Figures and Tables
Table 2
Multiple logistic regression analysis for multiple factors of postoperative urinary retention
Table 3
Adjusted multiple logistic regression analysis for multiple factors of postoperative urinary retention
Patient's sex, age, body mass index, diabetes mellitus and hypertension was adjusted. AOR: adjusted odds ratio, PCA: patient-controlled analgesia. *: at the time of Foley catheter removal, patients did not self-ambulate. †: at the time of Foley catheter removal, patients had patient-controlled analgesia
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