2020
DOI: 10.1002/nau.24516
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The role of perioperative medications in urinary retention following midurethral sling

Abstract: Aims: Postoperative urinary retention (PUR) is a known complication of midurethral sling (MUS) placement. The use of certain perioperative medications may influence the risk of this complication. This study aimed to investigate the association of perioperative medications with urinary retention after MUS. Methods: This was a retrospective study of women undergoing MUS placement for stress urinary incontinence by a fellowship-trained urologic surgeon between 2015 and 2018, under approval by the Institutional Re… Show more

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Cited by 5 publications
(4 citation statements)
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“…Short-acting antimuscarinics used during MUS procedures, such as glycopyrrolate, may not affect POUR, but data are limited 131 . Halothane suppresses detrusor contractions, increases bladder capacity, and causes an inhibition of the pontine micturition center and voluntary control of the cortex on the bladder 15,59,60 . The data are conflicting regarding the preoperative application of transdermal scopolamine patches as a cause of POUR 59,61 …”
Section: Discussionmentioning
confidence: 99%
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“…Short-acting antimuscarinics used during MUS procedures, such as glycopyrrolate, may not affect POUR, but data are limited 131 . Halothane suppresses detrusor contractions, increases bladder capacity, and causes an inhibition of the pontine micturition center and voluntary control of the cortex on the bladder 15,59,60 . The data are conflicting regarding the preoperative application of transdermal scopolamine patches as a cause of POUR 59,61 …”
Section: Discussionmentioning
confidence: 99%
“…[55][56][57][58]129,130 Muscle relaxants are used to facilitate tracheal intubation by providing skeletal muscle relaxation and limited data exist on their effect on POUR. 59 Antimuscarinics reduce salivary, tracheal, and pharyngeal secretions, and reduce the free acid of gastric secretions. A single study found that atropine, with a half-life of 2 hours, increased POUR by a factor of 6.…”
Section: Postoperative Urinary Retentionmentioning
confidence: 99%
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