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대한배뇨장애요실금학회 International Neurourology Journal International Neurourology Journal 제15권 제3호
발행연도
2011.1
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158 - 165 (8page)

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Purpose: To investigate the success rate of trial without catheter (TWOC) for postoperative urinary retention (POUR) after non-urological surgery and to determine predictors of successful TWOC. Methods: A total of 104 patients who underwent non-urological surgery and were referred to the department of urology for POUR were included in this retrospective study. All eligible patients underwent indwelling catheterization as an initial treatment and then TWOC was performed 3 to 7 days later. POUR was defined as micturition difficulty with greater than 400 mL of post-void residual (PVR) urine volume measured by catheterization after non-urological surgery. Successful TWOC was defined as voiding with less than 100 mL of PVR urine volume. Predictive factors were identified by multivariate regression analysis. All definitions corresponded to recommendations of the International Continence Society. Results: The mean age of the patients was 65.2 (range, 23 to 92) years. There were 45 male and 59 female patients. Intraoperative indwelling catheterization was performed in 69 (66.3%) patients. Mean duration of indwelling catheterization for POUR was 5.0 (range, 3.0 to 7.0) days and 83 (79.8%) patients received medication with an alpha-blocker. A successful TWOC was observed in 70 (67.4%) patients. The mean age of the patients with failure of TWOC was significantly higher than that of the patients with successful TWOC. The percentages of female patients, spinal surgery, and prone position during surgery in patients with unsuccessful TWOC were higher than in those with successful TWOC. In the multivariate logistic regression analysis, age and location of surgery (spine vs. non-spine) were the independent predictors of successful TWOC for POUR. Conclusions: Our data suggest that older age and spinal surgery may be important risk factors for failure of TWOC for POUR after non-urological surgery. Thus, adequate prevention measures may be necessary for POUR after non-urological surgery, especially in patients with these risk factors.
#Urinary retention #Postoperative care #Catheterization

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참고문헌 (21)

참고문헌 신청
Abrams P / 2002 / The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society / google schola Abrams P / 2005 / Urodynamic techniques. In: Abrams P, editor. Urodynamics / London: Springer-Verlag : 117 ~ 146 google schola Baldini G / 2009 / Postoperative urinary retention:anesthetic and perioperative considerations / Anesthesiology 110 : 1139 ~ 1157 google schola Bross S / 1999 / Effects of acute urinary bladder overdistension on bladder response during sacral neurostimulation / Eur Urol 36 : 354 ~ 359 google schola Darrah DM / 2009 / Postoperative urinary retention / Anesthesiol Clin 27 : 465 ~ 484 google schola

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