Risk Factors for Postoperative Urinary Retention in Surgical Population: A Prospective Cohort Study

• Main Authors: Meltem Çakmak, Murside Yıldız, İlker Akarken, Yücel Karaman, Özgür Çakmak
• Format: Article
• Language: English
• Published: Galenos Yayinevi 2020-06-01
• Series: Journal of Urological Surgery
• Subjects: postoperative urinary retention; risk factors; incidence of pour
• Online Access: http://jurolsurgery.org/archives/archive-detail/article-preview/risk-factors-for-postoperative-urinary-retention-i/38526

Objective:Urinary retention is a common postoperative problem. We aimed to investigate the incidence of postoperative urinary retention (POUR) in surgical population and identify the perioperative risk factors for POUR.Materials and Methods:A total of 332 patients, who underwent elective surgery between May 2012 and July 2012, were included in this prospective observational study. Patients under 18 years of age and those with a history of renal failure or benign prostate obstruction were excluded from the study. Group 1 was consisted of patients who had not developed POUR, whereas patients who experienced POUR were included in group 2. Demographic variables and risk factors related with POUR were compared between the two groups.Results:Of the 332 patients enrolled in the study, 179 (53.9%) were men and 153 (46.1%) were women. Thirty-three (9.9%) patients developed urinary retention. Comparison of demographic and perioperative variables between the two groups revealed that Diabetes Mellitus (DM) and spinal anesthesia were significantly associated with POUR (p=0.039 and p=0.043, respectively). Multivariate logistic regression analysis found that DM [p=0.017, odds ratio (OR): 3.009; 95% confidence interval (CI), 1.221– 7.414] and spinal anesthesia (p=0.031, OR: 2.266; 95% CI, 1.079-4.760) were significant independent risk factors for developing POUR.Conclusion:DM and spinal anesthesia were found to be risk factors for POUR. Awareness of risk factor for POUR during preoperative anesthesiology evaluation may help identify patients at risk for POUR, who could benefit from interventions, and prevent POUR and its potential complications.