Factors influencing urinary tract retention after elective open cholecystectomy.
We studied a retrospective cohort of 360 consecutive patients who had undergone elective cholecystectomy using general endotracheal anesthesia to determine risk factors associated with postoperative retention of the urinary tract. Male gender, increased age, a longer operating time and higher total doses of analgesic agents given postoperatively were each significantly associated with an increase in urinary tract retention. The use of postoperative intravenous patient controlled analgesia was associated with increased retention after controlling for other risk factors. Physicians should consider inserting a Foley catheter preoperatively in patients undergoing a cholecystectomy who are scheduled to receive postoperative patient controlled analgesia.
Department of Surgery, St. Elizabeth's Hospital, Boston, Massachusetts 02135.
J G
JG
Petros
E B
EB
Rimm
R J
RJ
Robillard
D000367:Age Factors; D016058:Analgesia, Patient-Controlled; D000701:Analgesics, Opioid / Q000008:administration & dosage; D000770:Anesthesia, Endotracheal; D002763:Cholecystectomy; D015331:Cohort Studies; D005260:Female; D005440:Fluid Therapy; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology*; D012189:Retrospective Studies; D012307:Risk Factors; D012737:Sex Factors; D013997:Time Factors; D016055:Urinary Retention / Q000453:epidemiology* / Q000209:etiology
D000701:Analgesics, Opioid