Amandeep Ghuman1, Naomi Kasteel2, Ahmer A Karimuddin3, Carl J Brown3, Manoj J Raval3, P Terry Phang4. 1. 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. 2. University of British Columbia MD Undergraduate Program, 950 West 10th Ave. Vancouver, BC, V5Z 1M9, Canada. 3. Department of Surgery, Division of General Surgery, St. Paul's Hospital, 1081 Burrard St., Vancouver, BC, V6Z 1Y6, Canada. 4. 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.
Abstract
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.
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.
Authors: Amandeep Ghuman; Mark T Dawidek; Manraj S Athwal; Naomi Kasteel; Carl J Brown; Ahmer A Karimuddin; Manoj J Raval; P Terry Phang Journal: Int J Colorectal Dis Date: 2021-10-13 Impact factor: 2.571
Authors: Ashley L Althoff; Constantine M Poulos; Jennifer R Hale; Ilene Staff; Paul V Vignati Journal: Surg Endosc Date: 2021-07-06 Impact factor: 4.584