Top

Published in:

01-01-2015 | Original Scientific Report

Risk Factors and Preventive Measures for Acute Urinary Retention after Rectal Cancer Surgery

Published in: World Journal of Surgery | Issue 1/2015

Abstract

Background

Although several risk factors for acute urinary retention after rectal cancer surgery have been proposed, few studies have enrolled a homogeneous group of patients without preoperative urinary dysfunction. We aimed to identify risk factors and preventive measures for acute urinary retention after rectal cancer surgery.

Methods

This study was a retrospective review of prospectively collected data from included patients who underwent rectal cancer surgery at a single center. Preoperative urinary function was evaluated using the International Prostate Symptom Score (IPSS). Clinical data were collected prospectively and analyzed to assess the risk factors for acute urinary retention, which was defined as the inability to self-void after removing the urinary catheter requiring catheterization or reinsertion of an indwelling catheter.

Results

Of 352 patients with mild preoperative IPSS (0–7), 48 (13.6 %) experienced acute urinary retention. Multivariate logistic regression analysis showed that male sex (odds ratio [OR] 2.240, p = 0.039), laparoscopic operation (OR 2.421, p = 0.024), intraoperative intravenous fluid ≥2,000 mL (OR 3.794, p < 0.001), and urinary catheter removal on postoperative day 1 or 2 (OR 3.650, p = 0.017) were independent risk factors for acute urinary retention after rectal cancer surgery. Patients with two risk factors had a significantly higher risk of acute urinary retention than patients with none or one risk factor.

Conclusions

This study suggests the maintenance of a urinary catheter for a period longer than 2 days and intraoperative fluid restriction to prevent acute urinary retention after rectal cancer surgery.

Burgos FJ, Romero J, Fernandez E et al (1988) Risk factors for developing voiding dysfunction after abdominoperineal resection for adenocarcinoma of the rectum. Dis Colon Rectum 31:682–685PubMedCrossRef

Benoist S, Panis Y, Denet C et al (1999) Optimal duration of urinary drainage after rectal resection: a randomized controlled trial. Surgery 125:135–141PubMedCrossRef

Changchien CR, Yeh CY, Huang ST et al (2007) Postoperative urinary retention after primary colorectal cancer resection via laparotomy: a prospective study of 2,355 consecutive patients. Dis Colon Rectum 50:1688–1696PubMedCrossRef

Zmora O, Madbouly K, Tulchinsky H et al (2010) Urinary bladder catheter drainage following pelvic surgery–is it necessary for that long? Dis Colon Rectum 53:321–326PubMedCrossRef

Kin C, Rhoads KF, Jalali M et al (2013) Predictors of postoperative urinary retention after colorectal surgery. Dis Colon Rectum 56:738–746PubMedCrossRef

Kang SB, Park JW, Jeong SY et al (2010) Open versus laparoscopic surgery for mid or low rectal cancer after neoadjuvant chemoradiotherapy (COREAN trial): short-term outcomes of an open-label randomised controlled trial. Lancet Oncol 11:637–645PubMedCrossRef

Jang JH, Kang SB, Lee SM et al (2012) Randomized controlled trial of tamsulosin for prevention of acute voiding difficulty after rectal cancer surgery. World J Surg 36:2730–2737PubMedCrossRef

Kang CY, Chaudhry OO, Halabi WJ et al (2012) Risk factors for postoperative urinary tract infection and urinary retention in patients undergoing surgery for colorectal cancer. Am Surg 78:1100–1104PubMed

Wu AK, Auerbach AD, Aaronson DS (2012) National incidence and outcomes of postoperative urinary retention in the Surgical Care Improvement Project. Am J Surg 204:167–171PubMedCrossRef

10.

Baldini G, Bagry H, Aprikian A et al (2009) Postoperative urinary retention: anesthetic and perioperative considerations. Anesthesiology 110:1139–1157PubMedCrossRef

11.

Abrams P, Amarenco G, Bakke A et al (2003) Tamsulosin: efficacy and safety in patients with neurogenic lower urinary tract dysfunction due to suprasacral spinal cord injury. J Urol 170:1242–1251PubMedCrossRef

12.

Akasu T, Sugihara K, Moriya Y (2009) Male urinary and sexual functions after mesorectal excision alone or in combination with extended lateral pelvic lymph node dissection for rectal cancer. Ann Surg Oncol 16:2779–2786PubMedCrossRef

13.

Lee SM, Kang SB, Jang JH et al (2013) Early rehabilitation versus conventional care after laparoscopic rectal surgery: a prospective, randomized, controlled trial. Surg Endosc 27:3902–3909PubMedCrossRef

14.

Shadle B, Barbaro C, Waxman K et al (2009) Predictors of postoperative urinary retention. Am Surg 75:922–924PubMed

15.

Tsubaki M, Hasimoto R, Sunagawa M (2005) Relationship between surgical procedure and spontaneous urination after rectal cancer surgery. Asian J Surg 28:34–37PubMedCrossRef

16.

Toyonaga T, Matsushima M, Sogawa N et al (2006) Postoperative urinary retention after surgery for benign anorectal disease: potential risk factors and strategy for prevention. Int J Colorectal Dis 21:676–682PubMedCrossRef

17.

Choi HR, Chung WS, Shim BS et al (1996) Translation validity and reliability of I-PSS Korean version. Korean J Urol 37:659–665

18.

Barry MJ, Fowler FJ Jr, O’Leary MP et al (1992) The American urological association symptom index for benign prostatic hyperplasia. The Measurement Committee of the American Urological Association. J Urol 148:1549–1557 discussion 1564PubMed

19.

Choi YS, Kim JC, Lee KS et al (2013) Analysis of female voiding dysfunction: a prospective, multi-center study. Int Urol Nephrol 45:989PubMedCrossRef

20.

Hsiao SM, Lin HH, Kuo HC (2013) International prostate symptom score for assessing lower urinary tract dysfunction in women. Int Urogynecol J 24:263–267PubMedCrossRef

21.

Chaudhri S, Maruthachalam K, Kaiser A et al (2006) Successful voiding after trial without catheter is not synonymous with recovery of bladder function after colorectal surgery. Dis Colon Rectum 49:1066–1070PubMedCrossRef

22.

Hooton TM, Bradley SF, Cardenas DD et al (2010) Diagnosis, prevention, and treatment of catheter-associated urinary tract infection in adults: 2009 International Clinical Practice Guidelines from the Infectious Diseases Society of America. Clin Infect Dis 50:625–663PubMedCrossRef

23.

Mundy AR (1982) An anatomical explanation for bladder dysfunction following rectal and uterine surgery. Br J Urol 54:501–504PubMedCrossRef

24.

Nesbitt-Hawes EM, Zhang CS, Won HR et al (2013) Urinary retention following laparoscopic gynaecological surgery with or without 4 % icodextrin anti-adhesion solution. Aust N Z J Obstet Gynaecol 53:305–309PubMedCrossRef

25.

Mentler E, Mann K, Earley A et al (2011) High incidence of acute urinary retention associated with immediate catheter removal after laparoscopic Nissen fundoplication. Surg Endosc 25:1611–1616PubMedCrossRef

26.

Demyttenaere S, Feldman LS, Fried GM (2007) Effect of pneumoperitoneum on renal perfusion and function: a systematic review. Surg Endosc 21:152–160PubMedCrossRef

27.

Matot I, Paskaleva R, Eid L et al (2012) Effect of the volume of fluids administered on intraoperative oliguria in laparoscopic bariatric surgery: a randomized controlled trial. Arch Surg 147:228–234PubMedCrossRef

28.

Nguyen NT, Perez RV, Fleming N et al (2002) Effect of prolonged pneumoperitoneum on intraoperative urine output during laparoscopic gastric bypass. J Am Coll Surg 195:476–483PubMedCrossRef

29.

Gomez Dammeier BH, Karanik E, Gluer S et al (2005) Anuria during pneumoperitoneum in infants and children: a prospective study. J Pediatr Surg 40:1454–1458PubMedCrossRef

30.

Gerstenberg TC, Nielsen ML, Clausen S et al (1980) Bladder function after abdominoperineal resection of the rectum for anorectal cancer. Urodynamic investigation before and after operative in a consecutive series. Ann Surg 191:81–86PubMedCentralPubMedCrossRef

31.

Gould CV, Umscheid CA, Agarwal RK et al (2010) Guideline for prevention of catheter-associated urinary tract infections 2009. Infect Control Hosp Epidemiol 31:319–326PubMedCrossRef

Title: Risk Factors and Preventive Measures for Acute Urinary Retention after Rectal Cancer Surgery
Publication date: 01-01-2015
Published in: World Journal of Surgery / Issue 1/2015
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-014-2767-9

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Risk Factors and Preventive Measures for Acute Urinary Retention after Rectal Cancer Surgery

Abstract

Background

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 1/2015

Injury, Disability and Access to Care in Rwanda: Results of a Nationwide Cross-Sectional Population Study

Congenital Anomalies in Low- and Middle-Income Countries: The Unborn Child of Global Surgery

The Magic of an Appendicitis Score

Robotic Spleen Preserving Distal Pancreatectomy: How I Do It (with Video)

Charitable Platforms in Global Surgery: A Systematic Review of their Effectiveness, Cost-Effectiveness, Sustainability, and Role Training

Reporting of Adverse Events in Surgical Trials: Critical Appraisal of Current Practice