Post-operative urinary retention: Review of literature

Agrawal, Kritika; Majhi, Satyajit; Garg, Rakesh

doi:10.5313/wja.v8.i1.1

Cited by 34 publications

(40 citation statements)

References 61 publications

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“…According to some studies, bladder distension can lead to urinary retention and other micturition problems but our results are quite contrary 30 , 31 . The possible explanation may be that the volume used for bladder retrofill in our study was 300 cc which lies within the limits of normal bladder capacity i.e.…”

Section: Discussioncontrasting

confidence: 87%

“…The possible explanation may be that the volume used for bladder retrofill in our study was 300 cc which lies within the limits of normal bladder capacity i.e. 300–400 cc 31 . It is discernible that this volume was adequate to make the bladder outline prominent but it did not distend the bladder wall to the extent to cause micturition problems.…”

Section: Discussionmentioning

confidence: 60%

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A randomized controlled trial of cystoinflation to prevent bladder injury in the adhesive disease of multiple caesarean sections

Saaqib

Iqbal

Naheed

et al. 2020

Sci Rep

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Caesarean sections carry the risk of urinary bladder injury due to formation of adhesions obscuring pelvic planes. Visualizing bladder during retro-fill (cystoinflation) makes it recognizable as it rises into the abdomen taking a tense rounded contour. We conducted a prospective randomized controlled trial to find out whether improved identification of bladder margins by cystoinflation could decrease bladder injury rate and blood loss without causing urological complications. This study included 214 healthy women with previous operative deliveries undergoing elective caesarean section and found to have dense pelvic adhesions. The subjects were randomly allocated into cystoinflation and control groups. Adhesiolysis was performed using bladder retro-fill with 300 cc saline in cystoinflation group, and without retro-fill in control. The bladder injury rate was significantly lower in cystoinflation group compared to control (2.8% vs 20.6%, P < .0001) with lesser blood loss in cystoinflation group (585.33 cc vs 797.10 cc, P < .0001). Mean operative time was similar in both groups. Urinary tract infection and micturition problems occurred more frequently in control group than cystoinflation group (16.8% vs 1.9%, P = .001 and .47 ± 1.63% vs 077 ± .633%, P = .021 respectively) with fistula in one subject compared to none in cystoinflation group. In this study, cystoinflation was effective to significantly reduce bladder injury rate and blood loss. This technique may also prove useful in the fields of surgery, urology and urogynecology.

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Section: Discussioncontrasting

confidence: 87%

Section: Discussionmentioning

confidence: 60%

A randomized controlled trial of cystoinflation to prevent bladder injury in the adhesive disease of multiple caesarean sections

Saaqib

Iqbal

Naheed

et al. 2020

Sci Rep

View full text Add to dashboard Cite

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“…Postoperative urinary retention refers to the inability to void urine after surgical intervention in the postoperative period. 12 It has been associated with prolongation of the hospital stay, UTI, detrusor muscle dysfunction, delirium, and cardiac arrhythmias. 12 Given the complications associated with POUR, there has been an increased focus on the early detection and treatment of POUR, particularly among spinal surgery patients.…”

Section: Discussionmentioning

confidence: 99%

“…12 It has been associated with prolongation of the hospital stay, UTI, detrusor muscle dysfunction, delirium, and cardiac arrhythmias. 12 Given the complications associated with POUR, there has been an increased focus on the early detection and treatment of POUR, particularly among spinal surgery patients. The normal physiological mechanisms regulating the micturition reflex are in the pelvic parasympathetic and sympathetic nerves.…”

Section: Discussionmentioning

confidence: 99%

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Spinal surgery and urinary retention: A review of the literature

Kopel

2020

Journal of Clinical Urology

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Objective: Postoperative urinary retention is a common complication for patients recovering from general anesthesia or invasive surgery near the spinal column. However, no study has systematically reviewed the incidence of postoperative urinary retention for spinal surgeries performed at the cervical, thoracic, or lumbar spinal regions. In this review, we critically analyze and summarize the known literature on the incidence and risk factors associated with postoperative urinary retention after spinal surgery. Methods: A comprehensive literature review was performed at the end of September 2019 within the PubMed database. Results: The average incidence of postoperative urinary retention from nine of the 10 studies was 17.2% with one paper that did not report on postoperative urinary retention incidence. Furthermore, age, male gender, location and history of spinal surgery, duration of surgery, benign prostatic hypertrophy, and Foley catheter were reported as major risk factors for postoperative urinary retention and spinal surgery. Conclusion: Overall, spinal cord and postoperative urinary retention remains a poorly understood area requiring further investigation into the incidence, risk factors, and surgical methods influence postoperative urinary retention and post-operative outcomes. We believe an overview of such data can help revise guidelines for the management of postoperative urinary retention and raise awareness of its prevalence in elderly patients undergoing spinal surgery. Level of evidence: Not applicable for this multicentre audit.

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