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Risk Factors for Early Postoperative Urinary Retention

Purpose: To identify a patient at risk for early postoperative urinary retention using the risk factors reported by Keita et al.

Description

Postoperative urinary retention is a common problem that can have long term consequences. Keita et al identified risk factors associated with urinary retention in the early postoperative period. The authors are from Hospital Bichat-Claude Bernard in Paris.


Parameters:

(1) age of the patient

(2) volume of fluids given intraoperatively

(3) bladder volume on admission to the PACU (using bladder ultrasonography)

 

Parameter

Finding

Points

age of the patient

< 50 years

0

 

>= 50 years

1

fluids given during surgery

< 750 mL

0

 

>= 750 mL

1

bladder volume on admission to the PACU

< 270 mL

0

 

>= 270 mL

1

 

where:

• PACU = post-anesthesia care unit

 

total number of risk factors for early postoperative urinary retention =

= SUM(points for all 3 parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 3

• The risk of early postoperative urinary retention increases with the number of risk factors present.


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Specialty

Objective

ICD-10