Urinary Retention in Surgical Patients.
Urinary retention is an important and potentially avoidable postoperative complication. Identifying risk factors for retention is important given expedient bladder decompression is important for long-term outcomes. Age, benign prostatic hyperplasia, and lower urinary tract symptoms are patient factors that predispose to retention. Surgery-related factors include operative time, intravenous fluid administration, type of anesthesia, and procedure type. The mainstay for treatment in the acute setting is Foley catheter placement. Starting alpha-blockers in men is also indicated as they increase voiding trial success. Long-term solutions for chronic retention include a variety of surgeries, with transurethral prostatectomy as the gold standard.
University of Vermont Medical Center, 111 Colchester Avenue, Mailstop 222WP2, Burlington, VT 05401, USA.
Urszula
U
Kowalik
Division of Urology, Department of Surgery, University of Vermont Medical Center, University of Vermont College of Medicine, 111 Colchester Avenue, Mailstop 320FL4, Burlington, VT 05401, USA. Electronic address: mark.plante@med.uvm.edu.
Mark K
MK
Plante
D000208:Acute Disease; D006801:Humans; D012307:Risk Factors; D013514:Surgical Procedures, Operative / Q000009:adverse effects*; D016055:Urinary Retention / Q000175:diagnosis* / Q000209:etiology / Q000517:prevention & control / Q000628:therapy*
Bladder function; Postoperative; Surgery; Urinary retention