Factors Affecting Urinary Retention in Patients Undergoing Anterior Cruciate Ligament Repair Surgery

Main Article Content

Busara Sirivanasandha

Abstract

Background: One of the complications after anterior cruciate ligament repair surgery is urinary retention. It creates a lot of pain and anxiety for the patient. The incidence of urinary retention after anesthesia was approximately 5-70%, which was significantly different due to the patient group and the type of surgery. Objectives: To investigate the incidence and risk factors of urinary retention in patients undergoing anterior cruciate ligament repair surgery. Methods: The retrospective study was performed by reviewing medical records of patients undergoing anterior cruciate ligament repair surgery from December 1, 2014, to December 1, 2019. All data were analyzed by the multiple logistic regression in the SPSS program. Results: From 385 patients undergoing anterior cruciate ligament repair surgery, 84 cases (21.8%) developed postoperative urinary retention. The significant risk factor was the volume of the intravenous fluid equal to or greater than 835 ml (p=0.019). There was no correlation between urinary retention and age, sex, body weight, comorbid disease, duration of surgery, techniques of anesthesia, and the amount of pain medication received. Conclusion: The incidence of postoperative urinary retention in anterior cruciate ligament repair surgery was 21.8%. The significant risk factor was the volume of the intravenous fluid equal to or greater than 835 ml (p=0.019)

Downloads

Download data is not yet available.

Article Details

Section
Original articles

References

1. Keita H, Diouf E, Tubach F, et al. Predictive factors of early
postoperative urinary retention in the postanesthesia care
unit. Anesth Analg 2005;101:592-6.
2. Luger T, Garoscio I, Rehder P, Oberladstatter J, Voelckel W.
Management of temporary urinary retention after arthroscopic
knee surgery in low-dose spinal anesthesia: development of
a simple algorithm. Arch Orthop Trauma Surg 2008;128:607-12.
3. Hansen BS, Soreide E, Warland AM, Nilsen OB. Risk factors
of post-operative urinary retention in hospitalized patients.
Acta Anaesthesiol Scand 2011;55:545-8.
4. Bjerregaard LS, Bogo S, Raaschou S, et al. Incidence of and
risk factors for postoperative urinary retention in fast-track
hip and knee arthroplasty. Acta Orthopaedica 2015;86:183-8.
5. Ringdal M, Borg B, Hellstrom AL. A survey on incidence and
factors that may influence first postoperative urination. Urol
Nurs 2003;23:341-54.
6. Lawrie CM, Ong AC, Hernandez VH, Rosas S, Post ZD,
Orozco FR. Incidence and risk factors for postoperative
urinary retention in total hip arthroplasty performed under
spinal anesthesia. J Arthroplasty 2017;32:3748-51.
7. Halawi MJ, Caminiti N, Cote MP, Lindsay AD, Williams VJ. The most
significant risk factors for urinary retention in fast-track total joint
arthroplasty are iatrogenic. J Arthroplasty 2019;34:136-9.
8. Hollman F, Wolterbeek N, Veen R. Risk factors for postoperative
urinary retention in men undergoing total hip arthroplasty.
Orthopedics 2015;38:507-511.
9. Nipapun Sasing, Waraporn Chau-In, Tippawan Muknumporn,
Kanchana Uppan, Somyong Srichaipunha. Surveillance of
the Incidence of Urinary Retention following the use of Single
Dose Spinal or Epidural Anesthesia in Srinagarind Hospital.
Srinagarind Med J 2551;23:311-6.
10. Kort NP, Bemelmans Y, Vos R, Schotanus MGM. Low
incidence of postoperative urinary retention with the use of a
nurse-led bladder scan protocol after hip and knee
arthroplasty: a retrospective cohort study. Eur J Orthop Surg
Traumatol 2017;28:283-9.
11. Agrawal K, Majhi S, Garg R. Post-operative urinary retention:
Review of literature. World J Anesthesiol 2019;8:1-12.
12. Baldini G, Bagry H, Aprikian A, Carli F, Warner DS, Warner MA.
Postoperative urinary retention: Anesthetic and perioperative
considerations. Anesthesiology 2009;110:1139-57.