[Urinary disorders following anorectal surgery].
Troubles of micturition are common after anorectal surgery. They range from transient slight dysfunction to protracted retention necessitating catheterization. Surgical procedures for hemorrhoids are the main cause regardless of technique. Anesthesia and age of the patient are of minor importance. Men are more often affected than women. Innervation of the vesical sphincter is connected to that of the anorectal region be it by common innervation or by shared reflexes. Two mechanisms prevail: surgical trauma can lead to early sphincter contraction and atonia of the bladder or constipation after surgery may play a role. Psychologic environment and administration of sedatives play an important role in the treatment of postoperative micturition disorders. Parasympathomimetics are often successful. Catheterization can not always be avoided. It should not be used within first 18 hours after surgery. Rapid institution of intestinal motility has a preventive effect.
Sarles
J C
JC
Service de chirurgie digestive, hôpital sainte Marguerite, Marseille.
D000328:Adult; D000368:Aged; D001004:Anus Diseases / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology*; D012002:Rectal Diseases / Q000601:surgery*; D001743:Urinary Bladder / Q000294:innervation; D014555:Urination Disorders / Q000209:etiology* / Q000503:physiopathology
Les troubles urinaires après chirurgie ano-rectale.