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International Journal of Colorectal Disease

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11-11-2022 | Ileus | Review

Risk factors for postoperative urinary retention in patients undergoing colorectal surgery: a systematic review and meta-analysis

Authors: Lumei Huang, Yue Yin, Yuexia Liao, Jinteng Liu, Kai Zhu, Xujun Yuan, Liang Xue, Hailong Pan

Published in: International Journal of Colorectal Disease | Issue 12/2022

Abstract

Purpose

Postoperative urinary retention (POUR) is a common complication following colorectal surgery. The incidence of POUR among colorectal surgery patients varies widely, and the risk factors and outcomes of POUR are also debatable. This meta-analysis aims to systematically evaluate the risk factors for POUR in patients after colorectal surgery.

Methods

PubMed, Web of Science, the Cochrane Library, Embase, Medline, and Chinese databases (CBM, CNKI, and WanFang Databases) were searched to identify relevant cohort studies (from inception to August 2022). Two researchers independently conducted literature quality evaluation and data extraction. All data were analyzed by using the Review Manager 5.4 software.

Results

Nineteen studies with 101,025 patients were included in this meta-analysis. The risk factors for POUR in colorectal surgery patients were male sex, older age, diabetes mellitus, urological diseases, tumor location in the lower rectum, APR, laparoscopic surgery, operation time ≥ 4 h, postoperative date of urinary catheter removal, excessive intraoperative intravenous fluid volume, and postoperative ileus. The postoperative anastomotic leak, on the other hand, was not a risk factor for POUR.

Conclusions

Multiple risk factors influence the incidence of POUR in patients undergoing colorectal surgery. To reduce the incidence of POUR in colorectal surgery patients, medical staff should identify risk factors early and enforce interventions to prevent them.

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Title: Risk factors for postoperative urinary retention in patients undergoing colorectal surgery: a systematic review and meta-analysis
Authors: Lumei Huang
Yue Yin
Yuexia Liao
Jinteng Liu
Kai Zhu
Xujun Yuan
Liang Xue
Hailong Pan
Publication date: 11-11-2022
Publisher: Springer Berlin Heidelberg
Keyword: Ileus
Published in: International Journal of Colorectal Disease / Issue 12/2022
Print ISSN: 0179-1958
Electronic ISSN: 1432-1262
DOI: https://doi.org/10.1007/s00384-022-04281-w

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Risk factors for postoperative urinary retention in patients undergoing colorectal surgery: a systematic review and meta-analysis

Abstract

Purpose

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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