Haemorrhoidectomy: prevalence and risk factors of urine retention among post recipients.
OBJECTIVE
The purpose of this study was to explore the prevalence and risk factors of urine retention among posthaemorrhoidectomy recipients. BACKGROUND. Haemorrhoids are one of the most common functional disorders of the anus. The Haemorrhoidectomy surgical procedure is one of the primary treatments for more severe haemorrhoidal occurrences, such as for third- and/or fourth-degree haemorrhoid conditions. Urine retention is a common acute complication after operation, but rare study conducted by nurses in Taiwan to explore the prevalence and risk factors.


METHODS
A retrospective chart review was conducted.


METHODS
Data from a prospectively maintained database on patients who had undergone haemorrhoidectomy between April 2004 - August 2008 were retrospectively analysed. A total of 469 charts were used in this analysis. The following outcomes were studied: patient profiles, haemorrhoid type and severity, anaesthesia methods, length of operating room stay, urine retention and management, intravenous fluid given during operation and length of stay. Results.  The overall urinary retention rate was 32.8% (n = 153). Significant risk factors associated with postoperative urinary retention included severity of haemorrhoid and anaesthesia methods. Logistic regression analysis revealed that epidural anaesthesia (p = 0.008), spinal anaesthesia (p = 0.016) and haemorrhoids with a severity of three degrees or higher (p = 0.017) were predictors of urinary retention post haemorrhoidectomy.


CONCLUSIONS
Acute urinary retention can have an adverse effect on a patient's quality of care. Careful follow-up of patients with these risk factors can help nurses spot posthaemorrhoidectomy urinary retention early.


CONCLUSIONS
The prevalence of acute urinary retention post haemorrhoidectomy is common. Surgical ward nurses should therefore take the responsibility regarding the impact of urinary retention and seeking appropriate nursing interventions of induced urination.
Lin
Yu-Hua
YH
Nursing Department, I-Shou University, Kaohsiung, Taiwan.
Liu
Kuang-Wen
KW
Chen
Hsin-Pao
HP
D006484:Hemorrhoids / Q000601:surgery*; D006801:Humans; D015995:Prevalence; D012189:Retrospective Studies; D012307:Risk Factors; D014555:Urination Disorders / Q000209:etiology*