Haemorrhoidectomy: prevalence and risk factors of urine retention among post recipients

Lin, Yu-Hua; Liu, Kuang-Wen; Chen, Hsin-Pao

doi:10.1111/j.1365-2702.2009.03178.x

Cited by 20 publications

(12 citation statements)

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“…Ten studies [36][37][38][39][40]42,[45][46][47][48] (5624 patients) assessed the influence of gender on the risk of developing POUR. The only two studies that demonstrated a significant relationship both identified male gender as protective 40,45 , however once the studies had been pooled, male sex was not found to significantly influence the risk of developing POUR with a summary OR of 0.96 (figure 2, 95% CI 0.62-1.50, p=0.87).…”

Section: Gendermentioning

confidence: 99%

Patient-related risk factors for urinary retention following ambulatory general surgery: a systematic review and meta-analysis

Mason

Scott

Mayer

et al. 2016

The American Journal of Surgery

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Section: Gendermentioning

confidence: 99%

Patient-related risk factors for urinary retention following ambulatory general surgery: a systematic review and meta-analysis

Mason

Scott

Mayer

et al. 2016

The American Journal of Surgery

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“…Lin YH [15] found that overall urinary retention rate was 32.8% (n=153). Shanmugam et al [16] , found no incidence of faecal incontinence with either procedure but two patients suffered flatus incontinence after haemorrhoidectomy.…”

Section: Discussionmentioning

confidence: 99%

A Comparative Study of Different Treatment Modalities of Haemorrhoids

Gireboinwad¹,

Shinde²,

Pote³

et al. 2014

jemds

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BACKGROUND:This study was carried out to evaluate possible differences of pre and post treatment parameters between patients undergoing injection Sclerotherapy, rubber band ligation and hemorrhoidectomy. METHODS: The prospective study was carried out in 150 patients of haemorrhoids during August 2010 to November 2012. Each group of 50 patients treated with injection sclerotherapy, band ligation and haemorrhoidectomy and followed up for 1 year for complications. RESULTS: In the present study pain, bleeding and urinary retention were common following haemorrhoidectomy. One patient had anal incontinence post sclerotherapy. Anal incontinence was found to be a major problem in post haemorrhoidectomy period. Two patients had anal stenosis after haemorrhoidectomy. Second setting required in 6 patients of sclerotherapy and 4 patients of rubber band ligation. No recurrence noted in haemorrhoidectomy patients. Following sclerotherapy, 35 (70%) patients resolved, 9 (18%) improved and 3 (6%) remained unchanged. Following rubber band ligation, 32 (64%) resolved, 12 (24%) improved and 3 (6%) unchanged, while after haemorrhoidectomy, 37 (74%) resolved and 10 (20%) improved. DISCUSSION: Injection sclerotherapy remains the choice in first degree haemorrhoids. Rubber band ligation can be considered as first line of treatment for second degree haemorrhoids and few cases of third degree haemorrhoid. Conservative methods are acceptable to patients in outcome and in patient compliance, but repetitions of treatment may be needed. Haemorrhoidectomy remains the only form of therapy with lasting results. Thus it should be considered for all cases of third and fourth degree haemorrhoids and for uncontrollable symptomatic recurrences following conservative procedures.

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“…To our knowledge, no prior studies have explored the effectiveness of Crede's method on urine voiding within the first 8 h after surgery among post‐haemorrhoidectomy patients. Our study supports previous findings that urinary retention (39·1%) is a common complication in patients undergoing haemorrhoidectomy (Huang et al ., 2007; Mik et al ., 2008; Lin et al ., 2010).…”

Section: Discussion and Significance To Nursing Practicementioning

confidence: 99%

“…Urinary retention is a common postoperative complication of haemorrhoidectomy (Sayfan, 2001; Toyanaga et al ., 2006; Lin et al ., 2010). It is also a distressing and dangerous medical problem that may increase medical costs and prolong hospital stays (Zaheer et al ., 1998; Ringdal et al ., 2003; Darrah et al ., 2009).…”

Section: Introductionmentioning

confidence: 99%

“…Previous studies have found a prevalence of acute urinary retention between 4·9 and 46·1% after haemorrhoidectomies (Jee et al ., 1997; Zaheer et al ., 1998; Kim et al ., 2000; Sayfan, 2001; Ng et al ., 2006a, 2006b; Toyanaga et al ., 2006; Mik et al ., 2008; Lin et al ., 2010). Lin et al . (2010) used a retrospective chart review to explore the prevalence of acute urinary retention and found that 32·8% of patients experienced acute urinary retention after haemorrhoidectomy in southern Taiwan.…”

Section: Introductionmentioning

confidence: 99%

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Effects of Crede's method on urine voiding within the first 8 h after surgery among post‐haemorrhoidectomy patients: a comparison study

Lin

Chi

Liu

et al. 2012

Int J of Uro Nursing

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Urinary retention is a common complication among patients after haemorrhoidectomy. Although Crede's method is recommended for urinary retention in nursing practice textbooks, its effects require further examination. The purpose of this study was to investigate the rate of urine voiding within the first 8 h following haemorrhoidectomy and to examine the effects of Crede's method on this postoperative outcome. A two‐group comparison study was conducted. All participants were over 20 years of age, and each had undergone haemorrhoidectomy. Outcome measurements included patients' self‐reported urine voiding within 8 h of surgery, personal demographics and disease‐related data. Before the surgical procedure, participants were divided into Crede's group and non‐Crede's group, and written educational materials were given. Patients in the Crede's group were taught Crede's method for application in the event that they were unable to void urine after haemorrhoidectomy. The non‐Crede's group patients were taught traditional methods without Crede's method. We examined urine voiding within the first 8 h after haemorrhoidectomy. The mean rate of urine voiding within 8 h of surgery was 60·9% overall, with 91·3% (21/23) in the Crede's group and 30·4% (7/23) in the non‐Crede's group reporting successful voiding. After controlling for the two groups' personal characteristics and disease‐related variables, age, educational level and perioperative fluid administration were treated as covariates and included in the multinomial logistic regression model. The odds ratio of urine voiding within the first 8 h after surgery was 52·70‐fold higher in the Crede's group than in the non‐Crede's group (p < 0·01). This study shows that Crede's method is an effective strategy to aid in urine voiding within the first eight postsurgical hours among patients following haemorrhoidectomy. Clear and concise information about urinary retention and related management strategies should be given to patients before haemorrhoidectomy.

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Haemorrhoidectomy: prevalence and risk factors of urine retention among post recipients

Abstract: The prevalence of acute urinary retention post haemorrhoidectomy is common. Surgical ward nurses should therefore take the responsibility regarding the impact of urinary retention and seeking appropriate nursing interventions of induced urination.

Cited by 20 publications

References 20 publications

Patient-related risk factors for urinary retention following ambulatory general surgery: a systematic review and meta-analysis

Patient-related risk factors for urinary retention following ambulatory general surgery: a systematic review and meta-analysis

A Comparative Study of Different Treatment Modalities of Haemorrhoids

Effects of Crede's method on urine voiding within the first 8 h after surgery among post‐haemorrhoidectomy patients: a comparison study

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