Urinary Retention Following Colorectal Surgery

• Published in: The American surgeon Vol. 83; no. 1; p. 3
• Main Authors: Hoppe, Ethan J, Main, William P, Kelley, Scott R, Hussain, Lala R, Dunki-Jacobs, Erik M, Saba, Alex K
• Format: Journal Article
• Language: English
• Published: United States 01-01-2017
• Subjects: Aged; Aged, 80 and over; Body Mass Index; Colon - surgery; Elective Surgical Procedures - adverse effects; Humans; Incidence; Male; Middle Aged; Operative Time; Postoperative Complications - epidemiology; Postoperative Complications - etiology; Rectum - surgery; Retrospective Studies; Risk Factors; Urinary Retention - epidemiology; Urinary Retention - etiology; Urination
• ISSN: 1555-9823
• DOI: 10.1177/000313481708300103

Literature on postoperative urinary retention (POUR) after colorectal resections is limited. The aim of our study was to evaluate the incidence of and risk factors for POUR after elective colorectal resections in men ≥55 years without genitourinary issues. A retrospective review of elective colorectal resections (June 1, 2014 to June 1, 2015) in men ≥55 years without genitourinary conditions was performed at our institution. Patient demographics, American Society of Anesthesiologist score, body mass index (BMI), surgical history, type of disease, extent of resection, surgical approach, operating room (OR) time, volume of OR fluids administered, and intra- and postoperative urine output were included for analysis. Seventy patients were identified. Nine (12.9%) experienced POUR. Patients with POUR experienced longer OR time (324 vs 239 minutes; P = 0.048) and had a lower median BMI (23.8 vs 28 kg/m2; P = 0.038). There were no significant differences in regards to age, comorbidities, diagnosis, type of resection, surgical approach, intravenous fluids administered operatively, or postoperative urine output. The incidence of POUR in male patients at least 55 years of age after elective colorectal resection in our institution was 12.9 per cent. Longer operative time and lower BMI were associated with a higher incidence of POUR.