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Predictors of Successful Trial without Catheter for Postoperative Urinary Retention Following Non-Urological Surgery

PURPOSE: To investigate the success rate of trial without catheter (TWOC) for postoperative urinary retention (POUR) after non-urological surgery and to determine predictors of successful TWOC. METHODS: A total of 104 patients who underwent non-urological surgery and were referred to the department...

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Autores principales: Lee, Kwang Soo, Lim, Ki Hong, Kim, Sung June, Choi, Hyeung Joon, Noh, Dong Hoon, Lee, Hae Won, Cho, Min Chul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Continence Society 2011
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3212590/
https://www.ncbi.nlm.nih.gov/pubmed/22087425
http://dx.doi.org/10.5213/inj.2011.15.3.158
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author Lee, Kwang Soo
Lim, Ki Hong
Kim, Sung June
Choi, Hyeung Joon
Noh, Dong Hoon
Lee, Hae Won
Cho, Min Chul
author_facet Lee, Kwang Soo
Lim, Ki Hong
Kim, Sung June
Choi, Hyeung Joon
Noh, Dong Hoon
Lee, Hae Won
Cho, Min Chul
author_sort Lee, Kwang Soo
collection PubMed
description PURPOSE: To investigate the success rate of trial without catheter (TWOC) for postoperative urinary retention (POUR) after non-urological surgery and to determine predictors of successful TWOC. METHODS: A total of 104 patients who underwent non-urological surgery and were referred to the department of urology for POUR were included in this retrospective study. All eligible patients underwent indwelling catheterization as an initial treatment and then TWOC was performed 3 to 7 days later. POUR was defined as micturition difficulty with greater than 400 mL of postvoid residual (PVR) urine volume measured by catheterization after non-urological surgery. Successful TWOC was defined as voiding with less than 100 mL of PVR urine volume. Predictive factors were identified by multivariate regression analysis. All definitions corresponded to recommendations of the International Continence Society. RESULTS: The mean age of the patients was 65.2 (range, 23 to 92) years. There were 45 male and 59 female patients. Intraoperative indwelling catheterization was performed in 69 (66.3%) patients. Mean duration of indwelling catheterization for POUR was 5.0 (range, 3.0 to 7.0) days and 83 (79.8%) patients received medication with an alpha-blocker. A successful TWOC was observed in 70 (67.4%) patients. The mean age of the patients with failure of TWOC was significantly higher than that of the patients with successful TWOC. The percentages of female patients, spinal surgery, and prone position during surgery in patients with unsuccessful TWOC were higher than in those with successful TWOC. In the multivariate logistic regression analysis, age and location of surgery (spine vs. non-spine) were the independent predictors of successful TWOC for POUR. CONCLUSIONS: Our data suggest that older age and spinal surgery may be important risk factors for failure of TWOC for POUR after non-urological surgery. Thus, adequate prevention measures may be necessary for POUR after non-urological surgery, especially in patients with these risk factors.
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spelling pubmed-32125902011-11-15 Predictors of Successful Trial without Catheter for Postoperative Urinary Retention Following Non-Urological Surgery Lee, Kwang Soo Lim, Ki Hong Kim, Sung June Choi, Hyeung Joon Noh, Dong Hoon Lee, Hae Won Cho, Min Chul Int Neurourol J Original Article PURPOSE: To investigate the success rate of trial without catheter (TWOC) for postoperative urinary retention (POUR) after non-urological surgery and to determine predictors of successful TWOC. METHODS: A total of 104 patients who underwent non-urological surgery and were referred to the department of urology for POUR were included in this retrospective study. All eligible patients underwent indwelling catheterization as an initial treatment and then TWOC was performed 3 to 7 days later. POUR was defined as micturition difficulty with greater than 400 mL of postvoid residual (PVR) urine volume measured by catheterization after non-urological surgery. Successful TWOC was defined as voiding with less than 100 mL of PVR urine volume. Predictive factors were identified by multivariate regression analysis. All definitions corresponded to recommendations of the International Continence Society. RESULTS: The mean age of the patients was 65.2 (range, 23 to 92) years. There were 45 male and 59 female patients. Intraoperative indwelling catheterization was performed in 69 (66.3%) patients. Mean duration of indwelling catheterization for POUR was 5.0 (range, 3.0 to 7.0) days and 83 (79.8%) patients received medication with an alpha-blocker. A successful TWOC was observed in 70 (67.4%) patients. The mean age of the patients with failure of TWOC was significantly higher than that of the patients with successful TWOC. The percentages of female patients, spinal surgery, and prone position during surgery in patients with unsuccessful TWOC were higher than in those with successful TWOC. In the multivariate logistic regression analysis, age and location of surgery (spine vs. non-spine) were the independent predictors of successful TWOC for POUR. CONCLUSIONS: Our data suggest that older age and spinal surgery may be important risk factors for failure of TWOC for POUR after non-urological surgery. Thus, adequate prevention measures may be necessary for POUR after non-urological surgery, especially in patients with these risk factors. Korean Continence Society 2011-09 2011-09-30 /pmc/articles/PMC3212590/ /pubmed/22087425 http://dx.doi.org/10.5213/inj.2011.15.3.158 Text en Copyright © 2011 Korean Continence Society http://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/ (http://creativecommons.org/licenses/by-nc/3.0) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Lee, Kwang Soo
Lim, Ki Hong
Kim, Sung June
Choi, Hyeung Joon
Noh, Dong Hoon
Lee, Hae Won
Cho, Min Chul
Predictors of Successful Trial without Catheter for Postoperative Urinary Retention Following Non-Urological Surgery
title Predictors of Successful Trial without Catheter for Postoperative Urinary Retention Following Non-Urological Surgery
title_full Predictors of Successful Trial without Catheter for Postoperative Urinary Retention Following Non-Urological Surgery
title_fullStr Predictors of Successful Trial without Catheter for Postoperative Urinary Retention Following Non-Urological Surgery
title_full_unstemmed Predictors of Successful Trial without Catheter for Postoperative Urinary Retention Following Non-Urological Surgery
title_short Predictors of Successful Trial without Catheter for Postoperative Urinary Retention Following Non-Urological Surgery
title_sort predictors of successful trial without catheter for postoperative urinary retention following non-urological surgery
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3212590/
https://www.ncbi.nlm.nih.gov/pubmed/22087425
http://dx.doi.org/10.5213/inj.2011.15.3.158
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