PMID- 29395027
OWN - NLM
STAT- MEDLINE
DCOM- 20190522
LR  - 20190522
IS  - 1879-1883 (Electronic)
IS  - 0002-9610 (Linking)
VI  - 215
IP  - 5
DP  - 2018 May
TI  - Urinary retention in early urinary catheter removal after colorectal surgery.
PG  - 949-952
LID - S0002-9610(17)31557-X [pii]
LID - 10.1016/j.amjsurg.2018.01.032 [doi]
AB  - BACKGROUND: High urinary infection (UTI) rate (12%) for our rectal surgery 
      prompted practice change to early catheter removal (postoperative day 2) and 
      prophylactic tamsulosin. Here we report urinary retention (UR) and UTI after this 
      change. METHODS: Retrospective cohort study in male patients 50+ years undergoing 
      elective colorectal surgery from July 2015 to July 2017. Multivariate regression 
      was used to determine risk factors for urinary retention. RESULTS: 157 patients, 
      57 without and 100 with tamsulosin had UR 11.46% and UTI 5.13%. Of all potential 
      risk factors, ileus (OR 5.50, 95% CI: 1.86-16.24) was an independent risk factor 
      for urinary retention. CONCLUSIONS: Urinary retention of 11% after colorectal 
      resection is within literature range and associated with post-operative ileus. 
      Tamsulosin did not affect UR in our small study sample. Early catheter removal 
      was associated with decreased UTI rate.
CI  - Copyright (c) 2018 Elsevier Inc. All rights reserved.
FAU - Ghuman, Amandeep
AU  - Ghuman A
AD  - Department of Surgery, Division of General Surgery, University of British 
      Columbia, 950 West 10th Ave. Vancouver, BC, V5Z 1M9, Canada. Electronic address: 
      anu.ghuman@gmail.com.
FAU - Kasteel, Naomi
AU  - Kasteel N
AD  - University of British Columbia MD Undergraduate Program, 950 West 10th Ave. 
      Vancouver, BC, V5Z 1M9, Canada.
FAU - Karimuddin, Ahmer A
AU  - Karimuddin AA
AD  - Department of Surgery, Division of General Surgery, St. Paul's Hospital, 1081 
      Burrard St., Vancouver, BC, V6Z 1Y6, Canada.
FAU - Brown, Carl J
AU  - Brown CJ
AD  - Department of Surgery, Division of General Surgery, St. Paul's Hospital, 1081 
      Burrard St., Vancouver, BC, V6Z 1Y6, Canada.
FAU - Raval, Manoj J
AU  - Raval MJ
AD  - Department of Surgery, Division of General Surgery, St. Paul's Hospital, 1081 
      Burrard St., Vancouver, BC, V6Z 1Y6, Canada.
FAU - Phang, P Terry
AU  - Phang PT
AD  - Department of Surgery, Division of General Surgery, St. Paul's Hospital, 1081 
      Burrard St., Vancouver, BC, V6Z 1Y6, Canada. Electronic address: 
      tphang@providencehealth.bc.ca.
LA  - eng
PT  - Journal Article
DEP - 20180201
PL  - United States
TA  - Am J Surg
JT  - American journal of surgery
JID - 0370473
SB  - IM
MH  - Aged
MH  - *Colorectal Surgery
MH  - *Device Removal
MH  - Humans
MH  - Ileus/etiology
MH  - Male
MH  - Middle Aged
MH  - Postoperative Complications/etiology
MH  - Retrospective Studies
MH  - Risk Factors
MH  - *Urinary Catheters
MH  - Urinary Retention/*etiology
MH  - Urinary Tract Infections/prevention & control
OTO - NOTNLM
OT  - Alpha blocker
OT  - Colorectal surgery
OT  - Tamsulosin
OT  - Urinary catheter
OT  - Urinary retention
OT  - Urinary tract infection
EDAT- 2018/02/06 06:00
MHDA- 2019/05/23 06:00
CRDT- 2018/02/04 06:00
PHST- 2017/11/17 00:00 [received]
PHST- 2018/01/20 00:00 [revised]
PHST- 2018/01/22 00:00 [accepted]
PHST- 2018/02/06 06:00 [pubmed]
PHST- 2019/05/23 06:00 [medline]
PHST- 2018/02/04 06:00 [entrez]
AID - S0002-9610(17)31557-X [pii]
AID - 10.1016/j.amjsurg.2018.01.032 [doi]
PST - ppublish
SO  - Am J Surg. 2018 May;215(5):949-952. doi: 10.1016/j.amjsurg.2018.01.032. Epub 2018 
      Feb 1.