Risk factors for postoperative urinary retention among women who underwent laparoscopic cholecystectomy

• Published in: Lower urinary tract symptoms Vol. 11; no. 3; pp. 158 - 162
• Main Authors: Choi, Jae Hwi, Yoon, Sol, Lee, Sin Woo, Jeh, Seong Uk, Hwa, Jeong Seok, Hyun, Jae Seog, Chung, Ky Hyun, Seo, Deok Ha, Lee, Chunwoo, Kam, Sung Chul, Choi, See Min
• Format: Journal Article
• Language: English
• Published: Australia Blackwell Publishing Asia Pty Ltd 01-05-2019; Wiley Subscription Services, Inc
• Subjects: Adult; Age Factors; Aged; Aged, 80 and over; Body Mass Index; Cholecystectomy; Cholecystectomy, Laparoscopic - adverse effects; Female; Gallstones - surgery; Health Status; Humans; laparoscopic cholecystectomy; Laparoscopy; Middle Aged; Nervous System Diseases - epidemiology; Postoperative Complications - epidemiology; Postoperative Complications - etiology; postoperative urinary retention; Protective Factors; Republic of Korea - epidemiology; Retrospective Studies; Risk Factors; Urinary Retention - epidemiology; Urinary Retention - etiology; Republic of Korea; laparoscopic cholecystectomy; postoperative urinary retention
• ISSN: 1757-5664; 1757-5672
• DOI: 10.1111/luts.12255

Objectives
The aim of this study was to investigate the risk factors for postoperative urinary retention (POUR) among female patients by evaluating its occurrence in women who underwent laparoscopic cholecystectomy in Gyeongsang National University Hospital.
Methods
The medical records of female patients who had undergone laparoscopic cholecystectomy for gallbladder stones between March 2014 and February 2018 were reviewed. Information was collected regarding patient age, body mass index (BMI), creatinine, absolute neutrophil count, duration of the operation and anesthesia, the amount of fluid infused, American Society of Anesthesiologists (ASA) classification, and medical comorbidities, such as hypertension, diabetes, and lung, liver, heart, renal, and neurologic disease. Comparisons were made between the POUR and non‐POUR groups, and both univariate and multivariate analyses were conducted.
Results
Seventeen of 591 patients (2.9%) developed POUR. There as a positive correlation between age and POUR (P = 0.040), and a negative correlation between BMI and POUR (P = 0.037). In addition, a history of neurologic disease was greater in the POUR group (P = 0.033), which also had a higher ASA class than the non‐POUR group (P < 0.001). Multivariate analysis showed that a high ASA class was a risk factor for POUR (hazard ratio 3.01; 95% confidence interval 1.13‐7.99; P = 0.027).
Conclusions
Medical care providers need to be aware of the risk factors for POUR, which is likely to prolong hospital stay for Foley catheter placement. A high ASA class is an important risk factor for POUR among female patients, so medical staff need to provide proper preoperative management strategies for patients with a high ASA class.