scholarly journals Postoperative Urinary Retention Following Thoracolumbosacral Spinal Fusion: Prevalence, Risk Factors, and Outcomes

Cureus ◽  
2021 ◽  
Author(s):  
Cheryl Marise Peilin Tan ◽  
Arun-Kumar Kaliya-Perumal ◽  
Glen Wen Kiat Ho ◽  
Jacob Yoong-Leong Oh
Keyword(s):  
Risk Factors ◽  
Spinal Fusion ◽  
Urinary Retention ◽  
Postoperative Urinary Retention

scholarly journals Evaluation of Risk Factors for Postoperative Urinary Retention in Elective Thoracolumbar Spinal Fusion Patients

2020 ◽  
pp. 219256822090468
Author(s):  
Ashley R. Strickland ◽  
M. Farooq Usmani ◽  
Jael E. Camacho ◽  
Amil Sahai ◽  
Jacob J. Bruckner ◽  
...  
Keyword(s):  
Risk Factors ◽  
Spinal Fusion ◽  
Urinary Retention ◽  
Thoracolumbar Spine ◽  
Case Series ◽  
Comorbid Conditions ◽  
Retrospective Case ◽  
Average Hospital ◽  
Postoperative Urinary Retention ◽  
Institutional Review

Study Design: Retrospective case series. Objectives: Postoperative urinary retention (POUR) represents a common postoperative complication of all elective surgeries. The aim of this study was to identify demographic, comorbid, and surgical factors risk factors for POUR in patients who underwent elective thoracolumbar spine fusion. Methods: Following institutional review board approval, patients who underwent elective primary or revision thoracic and lumbar instrumented spinal fusion in a 2-year period in tertiary and academic institution were reviewed. Sex, age, BMI, preoperative diagnosis, comorbid conditions, benign prostatic hyperplasia, diabetes, primary or revision surgery status, narcotic use, and operative factors were collected and analyzed between patients with and without POUR. Results: Of the 217 patients reviewed, 54 (24.9%) developed POUR. The average age for a patient with POUR was 67 ± 9, as opposed to 59 ± 10 for those without ( P < .0001). Single-level fusions were associated with a 0% incidence of POUR, compared with 54.5% in 6 or more levels. The average hospital stay was increased by 1 day for those who had POUR (5.8 ± 3.3 vs 4.9 ± 3.9 days). There was no significant association with other demographic variables, comorbid conditions, or surgical factors. Conclusions: POUR was a common complication in our patient cohort, with an incidence of 24.9%. Our findings demonstrate that patients who developed POUR are significantly older and have larger constructs. Patients who developed POUR also had longer in-hospital stays. Although our study supports other findings in the spine literature, more prospective data is needed to define diagnostic criteria of POUR as well as its management.

Incidence and Risk Factors for Postoperative Urinary Retention Following Lumbar Spine Fusion

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
John J. Bowman ◽  
Charles C. Edwards ◽  
Clayton Dean ◽  
Justin Park ◽  
Charles C. Edwards
Keyword(s):  
Risk Factors ◽  
Lumbar Spine ◽  
Urinary Retention ◽  
Spine Fusion ◽  
Postoperative Urinary Retention ◽  
Lumbar Spine Fusion

scholarly journals Risk Factors for Postoperative Urinary Retention in Surgical Population: A Prospective Cohort Study

2020 ◽  
Vol 7 (2) ◽  
pp. 144-148
Author(s):  
Meltem Çakmak ◽  
Murside Yıldız ◽  
İlker Akarken ◽  
Yücel Karaman ◽  
Özgür Çakmak
Keyword(s):  
Risk Factors ◽  
Cohort Study ◽  
Urinary Retention ◽  
Prospective Cohort Study ◽  
Prospective Cohort ◽  
Postoperative Urinary Retention

Incidence of and risk factors for postoperative urinary retention in men after carotid endarterectomy

2020 ◽  
Vol 72 (3) ◽  
pp. 943-950
Author(s):  
Laura T. Boitano ◽  
Madeline DeBono ◽  
Adam Tanious ◽  
James C. Iannuzzi ◽  
W. Darrin Clouse ◽  
...  
Keyword(s):  
Risk Factors ◽  
Carotid Endarterectomy ◽  
Urinary Retention ◽  
Postoperative Urinary Retention

Considering healthcare value and associated risk factors with postoperative urinary retention after elective laminectomy

2020 ◽  
Vol 20 (5) ◽  
pp. 701-707
Author(s):  
Michael Cremins ◽  
Smitha Vellanky ◽  
Grace McCann ◽  
Michael Mancini ◽  
Laura Sanzari ◽  
...  
Keyword(s):  
Risk Factors ◽  
Urinary Retention ◽  
Postoperative Urinary Retention ◽  
Associated Risk Factors

scholarly journals MP74-10 QUANTIFICATION OF RISK FACTORS IN 500 CONSECUTIVE PATIENTS WITH POSTOPERATIVE URINARY RETENTION (POUR)

2016 ◽  
Vol 195 (4S) ◽  
Author(s):  
Peter Tsambarlis ◽  
Benjamin Sherer ◽  
Karl Godlewski ◽  
Rebecca Deal ◽  
Leslie Deane
Keyword(s):  
Risk Factors ◽  
Urinary Retention ◽  
Postoperative Urinary Retention

scholarly journals What Are the Risk Factors Associated with Urinary Retention after Orthopaedic Surgery?

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Ki Hyuk Sung ◽  
Kyoung Min Lee ◽  
Chin Youb Chung ◽  
Soon-Sun Kwon ◽  
Seung Yeol Lee ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Urinary Retention ◽  
Orthopaedic Surgery ◽  
Postoperative Urinary Retention ◽  
Joint Replacement Surgery ◽  
Age At Surgery ◽  
History Of ◽  
Male Sex ◽  
Type Of Surgery

This study investigates the overall rate of urinary retention in a large cohort of unselected orthopaedic patients who had either general or regional anesthesia and defines the risk factors for postoperative urinary retention in that cohort of patients. A total of 15,681 patients who underwent major orthopaedic surgery with general or spinal/epidural anesthesia were included. Postoperative urinary retention was defined as any patient who required a postoperative consultation to the urologic department regarding voiding difficulty. Age at surgery, sex, type of surgery, medical history including hypertension and diabetes mellitus, and type of anesthesia were analyzed as potential predictor variables. There were 365 postoperative patients who required urology consults for urinary retention (2.3%). Older age at surgery (OR, 1.035;P<0.0001), male sex (OR, 1.522;P=0.0004), type of surgery (OR, 1.506;P=0.0009), history of hypertension (OR, 1.288;P=0.0436), and history of diabetes mellitus (OR, 2.038;P<0.0001) were risk factors for urinary retention after orthopaedic surgery. Advanced age, male sex, joint replacement surgery, history of hypertension, and diabetes mellitus significantly increased the risk of urinary retention. In patients with these risk factors, careful postoperative urological management should be performed.

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