Prevention of Urinary Retention After Anorectal Surgery

2000 ◽  
pp. 72-80
Author(s):  
Stuart D. Hoff
Keyword(s):  
Urinary Retention ◽  
Anorectal Surgery

scholarly journals Severe Hydronephrosis and Perinephric Urinoma with Rupture of Renal Fornix Secondary to Postoperative Urinary Retention following Laparoscopic Umbilical Hernia Repair

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Anthony Dakwar ◽  
James Wysock ◽  
James Satterfield
Keyword(s):  
Urinary Retention ◽  
Axial Rotation ◽  
Anorectal Surgery ◽  
Outflow Obstruction ◽  
Postoperative Urinary Retention ◽  
Case Presentation ◽  
Umbilical Hernia Repair ◽  
Unilateral Hydronephrosis ◽  
Unusual Occurrence ◽  
Stiff Guidewire

Postoperative urinary retention (POUR) is a known complication following a variety of procedures, with a reported incidence of 2.1–3.8% in general surgery and up to 52% in anorectal surgery. We report a case of POUR in a female resulting in severe unilateral hydronephrosis with a perinephric urinoma due to a ruptured fornix. The extent of hydroureter caused an axial rotation upon itself producing further outflow obstruction. This phenomenon of an anatomical ureter deformity secondary to urinary retention resulting in a ruptured fornix is an unusual occurrence. The patient underwent a percutaneous nephrogram where a stiff guidewire was successfully passed into the bladder by interventional radiology (IR) and allowed for placement of an indwelling ureteral stent. The case presentation, diagnostic evaluation, and therapeutic intervention are discussed.

scholarly journals Unplanned Returns to Care within Seven Days after Anorectal Surgery: Can they be Avoided?

2019 ◽  
Vol 85 (1) ◽  
pp. 92-97 ◽  
Author(s):  
Nikhil Crain ◽  
Armen Aboulian
Keyword(s):  
Retrospective Analysis ◽  
Urinary Retention ◽  
Return Rate ◽  
Urgent Care ◽  
Care Group ◽  
Anesthesia Care ◽  
Anorectal Surgery ◽  
Monitored Anesthesia Care ◽  
Kaiser Permanente ◽  
Medical Centers

With rates up to 50 per cent, unanticipated returns after anorectal surgery remain a major issue. A retrospective analysis was performed on 5929 anorectal operations from January 2011 to December 2015 across 14 Kaiser Permanente Southern California medical centers. Data were gathered on the cause, frequency and timing of unplanned returns to the ED and urgent care. Of all patients, 246 (4%) returned with a nonavoidable diagnosis and 243 (4%) returned with one of four avoidable diagnoses: pain, constipation, urinary retention, and nausea/vomiting. Seventy four per cent of avoidable diagnoses returns occurred within the first four postoperative days, with 48 per cent between days 2 and 4. In patients older than 50 years of age, males showed higher urinary retention (P = 0.001), whereas females had higher constipation (P < 0.001). Contrarily, pain was higher for both males (P = 0.02) and females (P < 0.001) less than 50 years old. In a separate subanalysis on anesthesia type, both constipation (P = 0.03) and urinary retention (P = 0.01) showed double the return rate in the general versus local/monitored anesthesia care group, whereas pain (P = 0.15) and nausea/vomiting (P = 0.20) showed no differences. Half of returns fall into a category that is potentially avoidable with preemptive interventions.

Urinary Retention following Anorectal Surgery

1995 ◽  
Vol 28 (3) ◽  
pp. 456 ◽  
Author(s):  
Dae Lim Jee ◽  
Ki Seok Son
Keyword(s):  
Urinary Retention ◽  
Anorectal Surgery

Comparison of two agents in prevention of urinary retention after benign anorectal surgery

1980 ◽  
Vol 23 (7) ◽  
pp. 470-472 ◽  
Author(s):  
Mohamed S. Eftaiha ◽  
Albert L. Amshel ◽  
Irving L. Shonberg
Keyword(s):  
Urinary Retention ◽  
Anorectal Surgery ◽  
Two Agents

scholarly journals Užpakalinis tarpvietės blokas operuojant išangę ir tiesiąją žarną

2003 ◽  
Vol 1 (3) ◽  
pp. 0-0
Author(s):  
Tomas Poškus ◽  
Narimantas Evaldas Samalavičius ◽  
Romanas Kęstutis Drąsutis ◽  
Gintautas Radžiūnas ◽  
Antanas Vaitkus ◽  
...  
Keyword(s):  
Urinary Retention ◽  
Regional Anaesthesia ◽  
Ambulatory Surgery ◽  
University Hospital ◽  
Anorectal Surgery ◽  
Postoperative Urinary Retention ◽  
Combined Operations ◽  
Analgesic Medication ◽  
Anorectal Diseases ◽  
Costs Of Treatment

Tomas Poškus, Narimantas Evaldas Samalavičius, Romanas Kęstutis Drąsutis, Gintautas Radžiūnas, Antanas Vaitkus, Alfredas SongailaVilniaus centro universitetinės ligoninės Chirurgijos skyrius,Žygimantų g. 3, LT-2001 VilniusEl paštas: [email protected] Tikslas Įvertinti kombinuoto vietinės ir regioninės nejautros metodo – užpakalinio tarpvietės bloko – rezultatus atliekant išangės ir tiesiosios žarnos operacijas. Ligoniai ir metodai Nuo 2002 07 10 iki 2003 04 18 Vilniaus centro universitetinės ligoninės Chirurgijos skyriuje buvo operuota 117 ligonių, sirgusių įvairiomis išangės ir tiesiosios žarnos ligomis. Straipsnyje detaliai aprašoma užpakalinio tarpvietės bloko metodika, naudojama šių operacijų metu. Rezultatai Atliktos 29 šoninės sfinkterotomijos Notaras būdu, 65 hemoroidektomijos Nivatvongs būdu, 11 hemoroidektomijų ir šoninių sfinkterotomijų, 2 fistulektomijos dėl žemų išangės ir tiesiosios žarnos fistulių, 3 papilomektomijos dėl išangės polipų, 7 sudėtinės operacijos (hemoroidektomijos ir fistulektomijos, šoninės sfinkterotomijos ir fistulektomijos, hemoroidektomijos ir papilomektomijos) – iš viso 117 operacijų. Visi operuojami ligoniai jautė proktoskopo įstūmimo momentą, tačiau tai apibrėžė ne kaip skausmą, o kaip diskomfortą išangės srityje. Operacijos metu kitokių vaistų nuskausminimui nevartota, anesteziologų pagalbos nereikėjo. Anestetikai komplikacijų nesukėlė. Operacijos dieną 88 ligoniai išrašyti namo praėjus 2–6 valandoms po operacijos. Šlapimo susilaikymo atvejų nepasitaikė. Pooperaciniam nuskausminimui rekomenduoti nesteroidiniai vaistai nuo uždegimo, dažniausiai ciklooksigenazės-2 inhibitoriai. Išvados Užpakalinis tarpvietės blokas yra veiksmingas, saugus ir pigus nejautros metodas išangės ir tiesiosios žarnos operacijoms. Jis tinka ambulatorinei ar vienos dienos stacionaro chirurgijai. Prasminiai žodžiai: užpakalinis tarpvietės blokas, regioninė nejautra, išangės ir tiesiosios žarnos operacijos. Posterior perineal block in anorectal surgery Tomas Poškus, Narimantas Evaldas Samalavičius, Romanas Kęstutis Drąsutis, Gintautas Radžiūnas, Antanas Vaitkus, Alfredas Songaila Objective To evaluate the results of the method of locoregional anaesthesia – the posterior perineal block in anorectal operations. Patients and methods From 10 07 2002 til 18 04 2003 117 patients were operated on for various anorectal diseases at the Departament of Surgery of Vilnius Center University Hospital. A detailed description of the technique of posterior perineal block used in these cases is presented. Results Performed were 29 lateral internal sphincterotomies according to Notaras, 65 closed Nivatvongs haemorrhoidectomies, 11 such haemorrhoidectomies combined with lateral sphincterotomies, 2 fistulectomies for low anorectal fistulae, 3 polypectomies for anal polyps and 7 combined operations (e.g. haemorrhoidectomies with fistulectomies, lateral sphincterotomies with fistulectomies, haemorrhoidectomies with polypectomies), in total 117 operations. Sufficient anaesthesia was induced in all patients, no help from anaesthesiologists was required. No complications of anaesthetics was noted. All the patients felt the introduction of a Fansler proctoscope 3.2 cm in diameter, but they described it as a discomfort and not as pain; 88 patients did not require any analgesic medication on the operation day, and they were discharged on the same day. No cases of urinary retention occurred. Conclusions Posterior perineal block is an effective and safe method of anaesthesia for anorectal operations. Postoperative urinary retention is prevented, the costs of treatment are reduced, conditions for ambulatory surgery are provided by employing this technique. Keywords: posterior perineal block, regional anaesthesia, anorectal operations.

Early Ambulation Reduces the Incidence of Urinary Retention after Spinal Anesthesia for Benign Anorectal Surgery

1999 ◽  
Vol 37 (6) ◽  
pp. 1001 ◽  
Author(s):  
Seong Bae Kim ◽  
Il Ok Lee ◽  
Myung Hoon Kong ◽  
Mi Gyeong Lee ◽  
Nan Sook Kim ◽  
...  
Keyword(s):  
Spinal Anesthesia ◽  
Urinary Retention ◽  
Anorectal Surgery ◽  
Early Ambulation
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