Early removal of urinary catheters after rectal surgery is associated with increased urinary retention

Diseases of the Colon and Rectum
Mary R KwaanRobert D Madoff

Abstract

Urinary retention after rectal resection is common and managed prophylactically by prolonging urinary catheterization. However, because indwelling urinary catheterization is a well-established risk factor for urinary tract infection, the ideal timing for urinary catheter removal following a rectal resection is unknown. We hypothesized that early urinary catheter removal (on or before postoperative day 2) would be associated with urinary retention. This study is a retrospective review of medical records. This study was conducted at a colorectal surgery service at a tertiary care academic teaching hospital. Adults undergoing rectal resection operations by colorectal surgeons in 2005 to 2010 were selected. The primary outcome measured was urinary retention. Of 205 patients included, 41 (20%) developed urinary retention. Male sex (OR, 3.9; 95% CI, 1.7-9), increased intraoperative intravenous fluid (OR for each liter, 1.2; 95% CI, 1.04-1.48), and urinary catheter removal on postoperative day 2 or earlier (OR, 3.8; 95% CI, 1.4-10.5) were associated with urinary retention on multivariable analysis. Early catheter removal was not associated with decreased urinary tract infection rates (p = 0.29) but was associated with shorter length o...Continue Reading

Associated Clinical Trials

Apr 24, 2020·Sarah Koller

References

Dec 21, 2004·The British Journal of Surgery·W KneistT Junginger
Apr 23, 2005·International Journal of Colorectal Disease·Peter SterkHodjat Shekarriz
Aug 3, 2010·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Jennifer MeddingsSanjay Saint
Sep 29, 2011·Journal of the American College of Surgeons·Scott E RegenbogenRocco Ricciardi
Jan 22, 2013·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·B M StubbsD Francis
May 9, 2013·Diseases of the Colon and Rectum·Cindy KinMark L Welton
Dec 10, 2013·Diseases of the Colon and Rectum·Deborah NagleVitaliy Poylin
Jan 10, 2014·Diseases of the Colon and Rectum·Alexander T HawkinsLiliana Bordeianou

❮ Previous
Next ❯

Citations

Jun 24, 2015·International Journal of Colorectal Disease·Vitaliy PoylinDeborah Nagle
Jun 5, 2016·The Surgical Clinics of North America·Urszula Kowalik, Mark K Plante
Jul 12, 2017·PM & R : the Journal of Injury, Function, and Rehabilitation·Frederick S FrostIrene Katzan
Oct 26, 2018·Annals of Surgical Oncology·E DuchalaisS R Kelley
Jul 22, 2020·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·K J ZhuM J Solomon
Apr 15, 2020·Current Gastroenterology Reports·Robert H Hollis, Gregory D Kennedy
Jul 28, 2016·World Journal of Surgery·Hyung Ook KimHo-Kyung Chun
Mar 8, 2021·Seminars in Thoracic and Cardiovascular Surgery·Michael BaboudjianPascal Alexandre Thomas
May 25, 2020·Journal of Visceral Surgery·M RouletJ Barbieux
Oct 15, 2021·International Journal of Colorectal Disease·Amandeep GhumanP Terry Phang

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.