Urinary retention in early urinary catheter removal after colorectal surgery

被引：25

作者：

Ghuman, Amandeep ^{[1
]}

Kasteel, Naomi ^{[2
]}

Karimuddin, Ahmer A. ^{[3
]}

Brown, Carl J. ^{[3
]}

Raval, Manoj J. ^{[3
]}

Phang, P. Terry ^{[3
]}

机构：

[1] Univ British Columbia, Div Gen Surg, Dept Surg, 950 West 10th Ave, Vancouver, BC V5Z 1M9, Canada

[2] Univ British Columbia, MD Undergrad Program, 950 West 10th Ave, Vancouver, BC V5Z 1M9, Canada

[3] St Pauls Hosp, Div Gen Surg, Dept Surg, 1081 Burrard St, Vancouver, BC V6Z 1Y6, Canada

来源：

AMERICAN JOURNAL OF SURGERY | 2018年 / 215卷 / 05期

关键词：

Urinary retention; Urinary tract infection; Colorectal surgery; Alpha blocker; Tamsulosin; Urinary catheter; RANDOMIZED CONTROLLED-TRIAL; TRACT-INFECTION; PELVIC-SURGERY; RECTAL-CANCER; RISK-FACTORS; TAMSULOSIN; RESECTION; DRAINAGE;

D O I：

10.1016/j.amjsurg.2018.01.032

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

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. (C) 2018 Elsevier Inc. All rights reserved.

引用

页码：949 / 952

页数：4

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