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A Study into Postoperative Urine Retention in the Recovery Ward

Published online by Cambridge University Press:  12 December 2007

Susanne Winther Olsen  and
Jette Nielsen
Susanne Winther Olsen
Affiliation:
Intensive Care, Odense University Hospital, Denmark
Jette Nielsen
Affiliation:
Intensive Care, Odense University Hospital, Denmark
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Extract

ABSTRACT

On the basis of hypothesis from our own practice, a study dealing with postoperative urine retention (PUR) in patients in the recovery ward was completed during 2006 in Odense University Hospital.

Three hundred and seven patients took part in the study with a view to monitoring the occurrence of PUR and to identify the relationship between risk factors and the development of PUR. Defining PUR as >300 mL in the bladder with the inability to urinate, the study showed that 28.7% of the patients had PUR at arrival to the recovery ward.

The study showed a positive correlation between patients with ascending age, rising anaesthesia duration, regional anaesthesia (RA) and developing PUR.

PUR occurred in half of the patients with diabetes and approximately half of the patients treated with ephedrine. Furthermore, the type of surgery had significance, as considerably more patients with plastic and orthopaedic surgery developed PUR. On the other hand, the study showed no correlation between subjective symptoms, e.g. like a strong desire to void, and the occurrence of PUR.

The results highlight the necessity for greater attention to screening patients for PUR.

Type
Education
Information
British Journal of Anaesthetic & Recovery Nursing , Volume 8 , Issue 4 , November 2007 , pp. 91 - 95
Copyright
© 2007 Cambridge University Press

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References

REFERENCES

Bjarnesen J, Lose G. Postoperativ urinretensjon. Ugeskrift for Læger 1991; 153: 1920–1924.Google Scholar
Buch, B, Ibsen, M. En behovsundersøgelse. 24. POTA 2042. Rigshos-pitalet, 2004, not published.
Cody T, et al. Incidence and risk factors for urinary retention after endoscopic hernia repair. The American Journal of Surgery 2006; 191 (3): 381–385.Google Scholar
Gjerland, A, Helgesen, J., Tøm urinblæren i tide. Sygeple: en 1998; 2.
Keita H, et al. Predictive factors of early postoperative urinary retention in the postanaesthesia care unit. International Anaesthesia Research Society 2005; 101 (2): 592–596.Google Scholar
Møller CF. Diabetic cystopathy – a review of the urodynamic and clinical features of neurogenic bladder dysfunction in diabetes mellitus. Læge-foreningens Forlag. Danish Medical Bulletin 1978; 25.Google Scholar
Nielsen G, Vetti R. Ultralydscanner for bestemmelsen af blærevolumen på operasjonsstuen. Tidskriftet for Sykepleien, nr, 2003.Google Scholar
Petros JG, Bradley TM. Factors influencing postoperative urinary retention in patients undergoing surgery for being anorectal disease. The American Journal of Surgery 1990; 159: 374–376.Google Scholar
Petros JG, Rim EB, Robbillard RJ, Arqy O. Factors influencing postoperative retention in patients undergoing elective inguinal hemiorrhaphy. The American Journal of Surgery 1991; 161: 432–433.Google Scholar
Ringdal M, Borg B, Hellström A. A survey of incidence and factors that may influence first postoperative urination. Urologic Nursing 2003; 23 (5): 341–346, 354.Google Scholar
Tjørnlund P. Få tømt blæren. Project from Sønderborg Hospital, Recovery Ward, 1999.
Toyonaga T, et al. Postoperative urinary retention after surgery for benign anorectal disease: potential risk factors and strategy for prevention. Springer Verlag, 2005.