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International Journal of Colorectal Disease

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01-09-2021 | Chronic Heart Failure | Original Article

The risk factors of acute urinary retention after laparoscopic colorectal cancer surgery in elderly patients receiving epidural analgesia

Authors: Masatsugu Hiraki, Toshiya Tanaka, Eiji Sadashima, Hirofumi Sato, Kenji Kitahara

Published in: International Journal of Colorectal Disease | Issue 9/2021

Abstract

Purpose

Urinary retention (UR) is a frequent complication following laparoscopic colorectal surgery. The aim of the present study was to investigate the risk factors for acute UR after laparoscopic surgery for colorectal cancer in patients receiving epidural analgesia.

Methods

A retrospective study was conducted of 201 patients who underwent laparoscopic surgery for colorectal cancer among those receiving epidural analgesia. Univariate and multivariate analyses were performed to determine the clinicopathological factors associated with acute UR. Acute UR was defined as Clavien-Dindo classification grade ≥ 1.

Results

The overall incidence of acute UR was 17.9% (36/201). The univariate analysis showed that male gender (P = 0.043), a history of chronic heart failure (P = 0.009), an increased level of serum creatinine (P = 0.028), an increased intraoperative fluid volume (P = 0.016), and an early postoperative date of urinary catheter removal (P = 0.003) were both associated with acute UR. The multivariate logistic regression analysis revealed an increased intraoperative fluid volume (100-ml increments; odds ratio [OR]: 1.085, 95% confidence interval [CI]: 1.034–1.138, P < 0.001), history of chronic heart failure (OR: 6.843, 95% CI: 1.893–24.739, P = 0.003), and postoperative date of urinary catheter removal (OR: 0.550, 95% CI: 0.343–0.880, P = 0.013) were independent risk factors for acute UR.

Conclusion

Our findings suggest that an increased intraoperative fluid volume, history of chronic heart failure, and early removal of the urinary catheter are risk factors of UR after laparoscopic surgery for colorectal cancer in patients receiving epidural analgesia. An assessment using these factors might be helpful for predicting acute UR.

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Title: The risk factors of acute urinary retention after laparoscopic colorectal cancer surgery in elderly patients receiving epidural analgesia
Authors: Masatsugu Hiraki
Toshiya Tanaka
Eiji Sadashima
Hirofumi Sato
Kenji Kitahara
Publication date: 01-09-2021
Publisher: Springer Berlin Heidelberg
Keywords: Chronic Heart Failure
Colorectal Cancer
Colorectal Cancer
Published in: International Journal of Colorectal Disease / Issue 9/2021
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI: https://doi.org/10.1007/s00384-021-03938-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The risk factors of acute urinary retention after laparoscopic colorectal cancer surgery in elderly patients receiving epidural analgesia

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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