지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 320 - 328 (9page)
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초록· 키워드
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Purpose: Postoperative urinary retention (POUR) is a common complication after spinal surgery. However, no clear definition of POUR currently exists, and no studies have evaluated the management of POUR. We aimed to investigate the prognostic factors for eventual POUR-free status in spinal surgery patients.
Methods: The records of patients who received a urologic consultation for POUR from January 2015 to December 2016 were reviewed. POUR-free status was defined as a voiding volume (VV) >100 mL and a VV ratio >50%. Patients with an indwelling Foley catheter and those with any postoperative complications were excluded. The patients were divided into 2 groups according to the primary management method (Foley catheterization [FC] or intermittent catheterization [IC]).
Results: In total, 205 patients (median age, 70.6 years) were evaluated. Significant prognostic factors for eventual POUR-free status were intraoperative FC, previous spinal surgery, operative level (L3–5), lumbar fusion, and total volume (TV) at the time of POUR. Bladder training and medication did not reduce the time to POUR-free status. In patients who underwent FC, the duration of indwelling FC was a significant prognostic factor for POUR-free status. In a subanalysis, the TV (≥500 mL) and VV ratio at the time of POUR were significant prognostic factors for POUR-free status after primary management.
Among the patients who achieved a POUR-free status, 8 (6.4%) experienced recurrent POUR. The VV ratio (<62.0%) was the only predictor of recurrent POUR.
Conclusions: The criterion of POUR-free status is useful after spinal surgery. IC and FC were similar in their efficacy for the management of these patients.
목차
등록된 정보가 없습니다.
참고문헌 (24)
참고문헌 신청
Akkoc A / 2016 / Prophylactic effects of alpha-blockers, Tamsulosin and Alfuzosin, on postoperative urinary retention in male patients undergoing urologic surgery under spina
Alonzo-Sosa JE / 1997 / Method for transurethral catheterization for 1-3 days for pelvic floor relaxation in the postoperative period / Ginecol Obstet Mex 65 : 455 ~ 457
Altschul D / 2017 / Postoperative urinary retention in patients undergoing elective spinal surgery / J Neurosurg Spine 26 : 229 ~ 234
Baldini G / 2009 / Postoperative urinary retention : anesthetic and perioperative considerations / Anesthesiology 110 : 1139 ~ 1157
Brooks ME / 1985 / Urologic complications after surgery on lumbosacral spine / Urology 26 : 202 ~ 204
Alonzo-Sosa JE / 1997 / Method for transurethral catheterization for 1-3 days for pelvic floor relaxation in the postoperative period / Ginecol Obstet Mex 65 : 455 ~ 457
Altschul D / 2017 / Postoperative urinary retention in patients undergoing elective spinal surgery / J Neurosurg Spine 26 : 229 ~ 234
Baldini G / 2009 / Postoperative urinary retention : anesthetic and perioperative considerations / Anesthesiology 110 : 1139 ~ 1157
Brooks ME / 1985 / Urologic complications after surgery on lumbosacral spine / Urology 26 : 202 ~ 204
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