Urinary retention after haemorrhoidectomy: Impact of stapled haemorrhoidectomy.
OBJECTIVE
Urinary retention is a common complication following haemorrhoidectomy. Stapled haemorrhoidectomy (SH) is associated with less postoperative pain, but whether or not this can reduce the incidence of urinary retention has not been evaluated. This study aimed to compare the incidence of urinary retention in patients treated with SH with those treated with conventional haemorrhoidectomy (CH).


METHODS
Charts of patients who underwent haemorrhoidectomy between May 2000 and March 2003 were reviewed. Data on demographics of patients, operative procedures, modes of anaesthesia, postoperative hospital stay and morbidities including urinary retention were collected. Factors that might affect the incidence of urinary retention were analysed by univariate and multivariate analyses.


RESULTS
During the study period, 204 patients (100 men and 104 women; mean age, 49 years; age range, 20-82 years) underwent haemorrhoidectomy. SH was performed in 90 (44.1%) patients while the other 114 (55.9%) had CH. Seventy patients (34.3%) were operated on as day cases. One hundred and seventeen (57.4%) patients underwent surgery under general anaesthesia and 87 (42.6%) were operated on under spinal anaesthesia. Urinary retention occurred in 31 patients (seven with SH and 24 with CH, p = 0.009). Logistic regression showed that general anaesthesia (p = 0.044; odds ratio [OR], 2.43; 95% confidence interval [CI], 1.02-5.97) and SH (p = 0.046; OR, 2.66; 95% CI, 1.02-7.00) were independent factors associated with a lower incidence of urinary retention.


CONCLUSIONS
The incidence of urinary retention following haemorrhoidectomy was 15.2%. General anaesthesia and SH were independent significant factors associated with a lower incidence of urinary retention.
Chik
Barbara
B
Department of Surgery, Queen Mary Hospital, University of Hong Kong Medical Centre, Hong Kong SAR.
Law
Wai Lun
WL
Choi
Hok Kwok
HK
D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D000704:Analysis of Variance; D005260:Female; D006484:Hemorrhoids / Q000601:surgery*; D006801:Humans; D015994:Incidence; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D011183:Postoperative Complications; D012737:Sex Factors; D013528:Surgical Staplers; D016055:Urinary Retention / Q000453:epidemiology / Q000209:etiology* / Q000517:prevention & control