Skip to main content
Top
Published in: Current Bladder Dysfunction Reports 3/2019

01-09-2019 | Urological Surgery | Reconstructed Bladder Function & Dysfunction (M Kaufman, Section Editor)

Urinary Retention Following Non-urologic Surgery

Authors: Amihay Nevo, Abdul-Muhsin Haidar, Anojan Navaratnam, Mitchell Humphreys

Published in: Current Bladder Dysfunction Reports | Issue 3/2019

Login to get access

Abstract

Purpose of Review

To evaluate the literature assessing postoperative urinary retention (POUR) after non-urologic surgeries, including risk factors, as well as short- and long-term consequences.

Recent Findings

POUR is multifactorial; however, several risk factors, such as male sex, advanced age, and preexisting lower urinary tract symptoms are well established. Procedures that do not involve damage to the urinary or nervous system are rarely associated with long-term consequences, as opposed to colorectal surgery in which long-term voiding dysfunction may be experienced. Improved surgical technique may improve results in these cases. Various preventive methods have been studied. While medical prevention has been efficacious in some cases, physical, noninvasive interventions failed to show a benefit.

Summary

While general risk factors for POUR are known, the literature assessing these factors varies widely and, in many cases, with conflicting results. With the expansion of ambulatory surgery, it is expected that the POUR will become more frequent. Prospective, well-designed studies are needed to guide the management in these cases.
Literature
4.
go back to reference Choi S, Awad I. Maintaining micturition in the perioperative period: strategies to avoid urinary retention. [cited 2018 Dec 13]; Available from: www.co-anesthesiology.com. Accessed 5 Apr 2019. Choi S, Awad I. Maintaining micturition in the perioperative period: strategies to avoid urinary retention. [cited 2018 Dec 13]; Available from: www.​co-anesthesiology.​com. Accessed 5 Apr 2019.
6.
14.
go back to reference Brouwer TA, van den Boogaard C, van Roon EN, Kalkman CJ, Veeger N. Non-invasive bladder volume measurement for the prevention of postoperative urinary retention: validation of two ultrasound devices in a clinical setting. J Clin Monit Comput. 2018 [cited 2018 Dec 6];32(6):1117–26. Available from: http://link.springer.com/10.1007/s10877-018-0123-6. Accessed 5 Apr 2019. Brouwer TA, van den Boogaard C, van Roon EN, Kalkman CJ, Veeger N. Non-invasive bladder volume measurement for the prevention of postoperative urinary retention: validation of two ultrasound devices in a clinical setting. J Clin Monit Comput. 2018 [cited 2018 Dec 6];32(6):1117–26. Available from: http://​link.​springer.​com/​10.​1007/​s10877-018-0123-6. Accessed 5 Apr 2019.
18.
19.
22.
go back to reference Kotwal R, Hodgson P, Carpenter C. Urinary retention following lower limb arthroplasty: analysis of predictive factors and review of literature. Acta Orthop Belg. 2008;74(3):332–6.PubMed Kotwal R, Hodgson P, Carpenter C. Urinary retention following lower limb arthroplasty: analysis of predictive factors and review of literature. Acta Orthop Belg. 2008;74(3):332–6.PubMed
25.
go back to reference Bjerregaard LS, Bogø S, Raaschou S, Troldborg C, Hornum U, Poulsen AM, et al. Acta Orthopaedica Incidence of and risk factors for postoperative urinary retention in fast-track hip and knee arthroplasty Incidence of and risk factors for postoperative urinary retention in fast-track hip and knee arthroplasty A prospective, observatio. Acta Orthop [Internet]. 2015 [cited 2018 Dec 10];86(2):183–8. Available from: http://www.tandfonline.com/action/journalInformation?journalCode=iort20. Accessed 5 Apr 2019. Bjerregaard LS, Bogø S, Raaschou S, Troldborg C, Hornum U, Poulsen AM, et al. Acta Orthopaedica Incidence of and risk factors for postoperative urinary retention in fast-track hip and knee arthroplasty Incidence of and risk factors for postoperative urinary retention in fast-track hip and knee arthroplasty A prospective, observatio. Acta Orthop [Internet]. 2015 [cited 2018 Dec 10];86(2):183–8. Available from: http://​www.​tandfonline.​com/​action/​journalInformati​on?​journalCode=​iort20. Accessed 5 Apr 2019.
28.
go back to reference Scholten R, Kremers K, van de Groes, SAW, Somford DM, Koëter S. Incidence and Risk Factors of Postoperative Urinary Retention and Bladder Catheterization in Patients Undergoing Fast-Track Total Joint Arthroplasty: A Prospective Observational Study on 371 Patients. J Arthroplasty [Internet]. 2018 [cited 2018 Dec 6];33(5):1546–51. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0883540317310896. Accessed 5 Apr 2019. Scholten R, Kremers K, van de Groes, SAW, Somford DM, Koëter S. Incidence and Risk Factors of Postoperative Urinary Retention and Bladder Catheterization in Patients Undergoing Fast-Track Total Joint Arthroplasty: A Prospective Observational Study on 371 Patients. J Arthroplasty [Internet]. 2018 [cited 2018 Dec 6];33(5):1546–51. Available from: https://​linkinghub.​elsevier.​com/​retrieve/​pii/​S088354031731089​6. Accessed 5 Apr 2019.
29.
go back to reference Pavlin DJ, Pavlin EG, Gunn HC, Taraday JK, Koerschgen ME. Voiding in patients managed with or without ultrasound monitoring of bladder volume after outpatient surgery. Anesth Analg. 1999;89(1):90–7.PubMed Pavlin DJ, Pavlin EG, Gunn HC, Taraday JK, Koerschgen ME. Voiding in patients managed with or without ultrasound monitoring of bladder volume after outpatient surgery. Anesth Analg. 1999;89(1):90–7.PubMed
36.
go back to reference Aiyer SN, Kumar A, Shetty AP. Spine surgery : a prospective study. 2018 Aiyer SN, Kumar A, Shetty AP. Spine surgery : a prospective study. 2018
40.
go back to reference Agency for Healthcare Research and Quallity. Comparative Effectiveness of Surgical Options for Inguinal Hernia. 2011;2011(1998):1–23. Agency for Healthcare Research and Quallity. Comparative Effectiveness of Surgical Options for Inguinal Hernia. 2011;2011(1998):1–23.
41.
go back to reference Liu H, Zheng X, Gu Y, Guo S. E-Mail A Meta-Analysis Examining the Use of Fibrin Glue Mesh Fixation versus Suture Mesh Fixation in Open Inguinal Hernia Repair. Dig Surg [Internet]. 2014 [cited 2018 27];31:444–51. Available from: www.karger.com/dsu. Accessed 5 Apr 2019. Liu H, Zheng X, Gu Y, Guo S. E-Mail A Meta-Analysis Examining the Use of Fibrin Glue Mesh Fixation versus Suture Mesh Fixation in Open Inguinal Hernia Repair. Dig Surg [Internet]. 2014 [cited 2018 27];31:444–51. Available from: www.​karger.​com/​dsu. Accessed 5 Apr 2019.
43.
go back to reference Bittner R, Schmedt CG, Schwarz J, Kraft K, Leibl BJ. Laparoscopic transperitoneal procedure for routine repair of groin hernia. Br J Surg. 2002;89(8):1062–6.CrossRefPubMed Bittner R, Schmedt CG, Schwarz J, Kraft K, Leibl BJ. Laparoscopic transperitoneal procedure for routine repair of groin hernia. Br J Surg. 2002;89(8):1062–6.CrossRefPubMed
48.
go back to reference Havenga K, Enker WE, McDermott K, Cohen AM, Minsky BD, Guillem J. Male and female sexual and urinary function after total mesorectal excision with autonomic nerve preservation for carcinoma of the rectum. J Am Coll Surg [Internet]. 1996 [cited 2018 Dec 28];182(6):495–502. Available from: http://www.ncbi.nlm.nih.gov/pubmed/8646349. Accessed 5 Apr 2019. Havenga K, Enker WE, McDermott K, Cohen AM, Minsky BD, Guillem J. Male and female sexual and urinary function after total mesorectal excision with autonomic nerve preservation for carcinoma of the rectum. J Am Coll Surg [Internet]. 1996 [cited 2018 Dec 28];182(6):495–502. Available from: http://​www.​ncbi.​nlm.​nih.​gov/​pubmed/​8646349. Accessed 5 Apr 2019.
51.
go back to reference Lange MM, Maas CP, Marijnen CAM, Wiggers T, Rutten HJ, Kranenbarg EK, et al. Urinary dysfunction after rectal cancer treatment is mainly caused by surgery. Br J Surg [Internet]. 2008 1 [cited 2018 Dec 28];95(8):1020–8. Available from: http://doi.wiley.com/10.1002/bjs.6126. Accessed 5 Apr 2019. Lange MM, Maas CP, Marijnen CAM, Wiggers T, Rutten HJ, Kranenbarg EK, et al. Urinary dysfunction after rectal cancer treatment is mainly caused by surgery. Br J Surg [Internet]. 2008 1 [cited 2018 Dec 28];95(8):1020–8. Available from: http://​doi.​wiley.​com/​10.​1002/​bjs.​6126. Accessed 5 Apr 2019.
53.
go back to reference Uccella S, Laterza R, Ciravolo G. al. Et. A comparison of urinary complications following total laparoscopic radical hysterectomy and laparoscopic pelvic lymphadenectomy to open abdominal surgery. Gynecol Oncol. 2007;107:S147–9.CrossRefPubMed Uccella S, Laterza R, Ciravolo G. al. Et. A comparison of urinary complications following total laparoscopic radical hysterectomy and laparoscopic pelvic lymphadenectomy to open abdominal surgery. Gynecol Oncol. 2007;107:S147–9.CrossRefPubMed
54.
go back to reference Li G, Yan X, Shang H, Wang G, Chen L, Han Y. A comparison of laparoscopic radical hysterectomy and pelvic lymphadenectomy and laparotomy in the treatment of Ib-IIa cervical cancer. Gynecol Oncol. 2007;105(1):176–80.CrossRefPubMed Li G, Yan X, Shang H, Wang G, Chen L, Han Y. A comparison of laparoscopic radical hysterectomy and pelvic lymphadenectomy and laparotomy in the treatment of Ib-IIa cervical cancer. Gynecol Oncol. 2007;105(1):176–80.CrossRefPubMed
55.
go back to reference Maas CP, Trimbos JB, Deruiter MC, Van De Velde CJH, Kenter GG. Nerve sparing radical hysterectomy: latest developments and historical perspective. Crit Rev Oncol Hematol. 2003;48(3):271–9.CrossRefPubMed Maas CP, Trimbos JB, Deruiter MC, Van De Velde CJH, Kenter GG. Nerve sparing radical hysterectomy: latest developments and historical perspective. Crit Rev Oncol Hematol. 2003;48(3):271–9.CrossRefPubMed
58.
go back to reference FIVE_CLASSES_OF_EXTENDED_HYSTERECTOMY_FOR_WOMEN.27.pdf. FIVE_CLASSES_OF_EXTENDED_HYSTERECTOMY_FOR_WOMEN.27.pdf.
60.
62.
go back to reference Zhu T, Yu A-J, Shou H-F, Chen X, Zhu J-Q, Yang Z-Y, et al. [Feasibility of unilateral or bilateral nerve-sparing radical hysterectomy in patients with cervical cancer and evaluation of the post-surgery recovery of the bladder and rectal function]. Zhonghua Zhong Liu Za Zhi [Internet]. 2011 [cited 2019 Jan 17];33(1):53–7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21575466. Accessed 5 Apr 2019. Zhu T, Yu A-J, Shou H-F, Chen X, Zhu J-Q, Yang Z-Y, et al. [Feasibility of unilateral or bilateral nerve-sparing radical hysterectomy in patients with cervical cancer and evaluation of the post-surgery recovery of the bladder and rectal function]. Zhonghua Zhong Liu Za Zhi [Internet]. 2011 [cited 2019 Jan 17];33(1):53–7. Available from: http://​www.​ncbi.​nlm.​nih.​gov/​pubmed/​21575466. Accessed 5 Apr 2019.
70.
go back to reference Singelyn F, Ferrant T, Malisse M, Joris D. Effects of Intravenous Patient-Controlled Analgesia With Morphine, Continuous Epidural Analgesia, and Continuous Femoral Nerve Sheath Block on Rehabilitation After Unilateral Total-Hip Arthroplasty. Reg Anesth Pain Med [Internet]. 2005 Sep [cited 2018 Dec 10];30(5):452–7. Available from: http://linkinghub.elsevier.com/retrieve/pii/S1098733905001720. Accessed 5 Apr 2019. Singelyn F, Ferrant T, Malisse M, Joris D. Effects of Intravenous Patient-Controlled Analgesia With Morphine, Continuous Epidural Analgesia, and Continuous Femoral Nerve Sheath Block on Rehabilitation After Unilateral Total-Hip Arthroplasty. Reg Anesth Pain Med [Internet]. 2005 Sep [cited 2018 Dec 10];30(5):452–7. Available from: http://​linkinghub.​elsevier.​com/​retrieve/​pii/​S109873390500172​0. Accessed 5 Apr 2019.
71.
go back to reference Rubenovitch J, Sc B, Athis F, D A Surgical Outcome and Duration o after M a j o r Knee Surgery 1999;(1):8–15. Rubenovitch J, Sc B, Athis F, D A Surgical Outcome and Duration o after M a j o r Knee Surgery 1999;(1):8–15.
74.
go back to reference • Lee KS, Koo KC, Chung BH. Risk and Management of Postoperative Urinary Retention Following Spinal Surgery. Int Neurourol J [Internet]. 2017 Dec [cited 2018 Dec 7];21(4):320–8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/29298471. Accessed 5 Apr 2019. One of the few studies that provides information on the long term consequences of POUR after orthopedic surgery. • Lee KS, Koo KC, Chung BH. Risk and Management of Postoperative Urinary Retention Following Spinal Surgery. Int Neurourol J [Internet]. 2017 Dec [cited 2018 Dec 7];21(4):320–8. Available from: http://​www.​ncbi.​nlm.​nih.​gov/​pubmed/​29298471. Accessed 5 Apr 2019. One of the few studies that provides information on the long term consequences of POUR after orthopedic surgery.
75.
go back to reference • Changchien CR, Yeh CY, Huang ST, Hsieh M-L, Chen J-S, Tang R. Postoperative Urinary retention after primary colorectal Cancer resection via laparotomy: a prospective study of 2,355 consecutive patients. Dis Colon rectum [Internet]. 2007 Oct [cited 2018 Dec 27];50(10):1688–96. Available from: https://insights.ovid.com/crossref?an=00003453-200750100-00025. Accessed 5 Apr 2019. A long term effect of colorectal surgery on urinary function is uncommon. • Changchien CR, Yeh CY, Huang ST, Hsieh M-L, Chen J-S, Tang R. Postoperative Urinary retention after primary colorectal Cancer resection via laparotomy: a prospective study of 2,355 consecutive patients. Dis Colon rectum [Internet]. 2007 Oct [cited 2018 Dec 27];50(10):1688–96. Available from: https://​insights.​ovid.​com/​crossref?​an=​00003453-200750100-00025. Accessed 5 Apr 2019. A long term effect of colorectal surgery on urinary function is uncommon.
78.
87.
go back to reference Afazel MR, Jalali E, Sadat Z, Mahmoodi H. Comparing the effects of hot pack and lukewarm-water-soaked gauze on postoperative urinary retention; a randomized controlled clinical trial. Nurs midwifery Stud [Internet]. 2014 [cited 2019 Feb 13];3(4):e24606. Available from: http://www.ncbi.nlm.nih.gov/pubmed/25741518. Accessed 5 Apr 2019. Afazel MR, Jalali E, Sadat Z, Mahmoodi H. Comparing the effects of hot pack and lukewarm-water-soaked gauze on postoperative urinary retention; a randomized controlled clinical trial. Nurs midwifery Stud [Internet]. 2014 [cited 2019 Feb 13];3(4):e24606. Available from: http://​www.​ncbi.​nlm.​nih.​gov/​pubmed/​25741518. Accessed 5 Apr 2019.
88.
go back to reference Goldman G, Kahn PJ, Kashtan H, Stadler J, Wiznitzer T. Prevention and treatment of urinary retention and infection after surgical treatment of the colon and rectum with alpha adrenergic blockers. Surg Gynecol Obstet [Internet]. 1988 [cited 2019 Feb 10];166(5):447–50. Available from: http://www.ncbi.nlm.nih.gov/pubmed/2896393. Accessed 5 Apr 2019. Goldman G, Kahn PJ, Kashtan H, Stadler J, Wiznitzer T. Prevention and treatment of urinary retention and infection after surgical treatment of the colon and rectum with alpha adrenergic blockers. Surg Gynecol Obstet [Internet]. 1988 [cited 2019 Feb 10];166(5):447–50. Available from: http://​www.​ncbi.​nlm.​nih.​gov/​pubmed/​2896393. Accessed 5 Apr 2019.
90.
go back to reference Basheer A, Alsaidi M, Schultz L, Chedid M, Abdulhak M, Seyfried D. Preventive effect of tamsulosin on postoperative urinary retention in neurosurgical patients. Surg Neurol Int [Internet]. 2017 [cited 2018 Dec 7];8:75. Available from: http://www.ncbi.nlm.nih.gov/pubmed/28584678. Accessed 5 Apr 2019. Basheer A, Alsaidi M, Schultz L, Chedid M, Abdulhak M, Seyfried D. Preventive effect of tamsulosin on postoperative urinary retention in neurosurgical patients. Surg Neurol Int [Internet]. 2017 [cited 2018 Dec 7];8:75. Available from: http://​www.​ncbi.​nlm.​nih.​gov/​pubmed/​28584678. Accessed 5 Apr 2019.
91.
go back to reference Jang JH, Kang SB, Lee SM, Park JS, Kim DW, Ahn S. Randomized controlled trial of tamsulosin for prevention of acute voiding difficulty after rectal cancer surgery. World J Surg. 2012; Jang JH, Kang SB, Lee SM, Park JS, Kim DW, Ahn S. Randomized controlled trial of tamsulosin for prevention of acute voiding difficulty after rectal cancer surgery. World J Surg. 2012;
92.
go back to reference Buckley Brian S, Lapitan Marie Carmela M. Drugs for treatment of urinary retention after surgery in adults. Cochrane Database of Systematic Reviews. 2010. Buckley Brian S, Lapitan Marie Carmela M. Drugs for treatment of urinary retention after surgery in adults. Cochrane Database of Systematic Reviews. 2010.
94.
95.
go back to reference Tomaszewski D, Bałkota M. Intramuscular Administration of Drotaverine Hydrochloride Decreases Both Incidence of Urinary Retention and Time to Micturition in Orthopedic Patients under Spinal Anesthesia: A Single Blinded Randomized Study. Biomed Res Int [Internet]. 2015 [cited 2019 Feb 13];2015:926953. Available from: http://www.ncbi.nlm.nih.gov/pubmed/26185766. Accessed 5 Apr 2019. Tomaszewski D, Bałkota M. Intramuscular Administration of Drotaverine Hydrochloride Decreases Both Incidence of Urinary Retention and Time to Micturition in Orthopedic Patients under Spinal Anesthesia: A Single Blinded Randomized Study. Biomed Res Int [Internet]. 2015 [cited 2019 Feb 13];2015:926953. Available from: http://​www.​ncbi.​nlm.​nih.​gov/​pubmed/​26185766. Accessed 5 Apr 2019.
Metadata
Title
Urinary Retention Following Non-urologic Surgery
Authors
Amihay Nevo
Abdul-Muhsin Haidar
Anojan Navaratnam
Mitchell Humphreys
Publication date
01-09-2019
Publisher
Springer US
Published in
Current Bladder Dysfunction Reports / Issue 3/2019
Print ISSN: 1931-7212
Electronic ISSN: 1931-7220
DOI
https://doi.org/10.1007/s11884-019-00518-7

Other articles of this Issue 3/2019

Current Bladder Dysfunction Reports 3/2019 Go to the issue

Post-Prostatectomy and Acquired Voiding Dysfunction (V Tse, Section Editor)

Management of Incontinence After Orthotopic Bladder Substitution Post-Radical Cystectomy

Reconstructed Bladder Function & Dysfunction (M Kaufman, Section Editor)

Historical and Current Concepts Regarding Urodynamics in Multiple Sclerosis Patients

Stress Incontinence and Prolapse (WS Reynolds, Section Editor)

Physical Activity and Stress Incontinence in Women

Pediatric Bladder Dysfunction (J Thomas and D Clayton, Section Editors)

Outcomes of Bladder Preservation Following Treatment for Rhabdomyosarcoma

Overactive Bladder (U Lee and S Adelstein, Section Editors)

Patient Education for Overactive Bladder in the Digital Era

Post-Prostatectomy and Acquired Voiding Dysfunction (V Tse, Section Editor)

Sling Procedures for Post Prostatectomy Incontinence: What Devices Are Out There? and What Are Their Results?