Urinary retention in early urinary catheter removal after colorectal surgery.
Am J Surg
; 215(5): 949-952, 2018 05.
Article
en En
| MEDLINE
| ID: mdl-29395027
ABSTRACT
BACKGROUND:
High urinary infection (UTI) rate (12%) for our rectal surgery prompted practice change to early catheter removal (postoperative day 2) and prophylactic tamsulosin. Here we report urinary retention (UR) and UTI after this change.METHODS:
Retrospective cohort study in male patients 50+ years undergoing elective colorectal surgery from July 2015 to July 2017. Multivariate regression was used to determine risk factors for urinary retention.RESULTS:
157 patients, 57 without and 100 with tamsulosin had UR 11.46% and UTI 5.13%. Of all potential risk factors, ileus (OR 5.50, 95% CI 1.86-16.24) was an independent risk factor for urinary retention.CONCLUSIONS:
Urinary retention of 11% after colorectal resection is within literature range and associated with post-operative ileus. Tamsulosin did not affect UR in our small study sample. Early catheter removal was associated with decreased UTI rate.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
1_ASSA2030
Problema de salud:
1_doencas_nao_transmissiveis
Asunto principal:
Retención Urinaria
/
Cirugía Colorrectal
/
Remoción de Dispositivos
/
Catéteres Urinarios
Tipo de estudio:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Límite:
Aged
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Am J Surg
Año:
2018
Tipo del documento:
Article