POSTOPERATIVE URINARY RETENTION
NEŞET NURİ GÖNÜLLÜ1, MUSTAFA GÖNÜLLÜ2, NİHAT ZAFER UTKAN1, MUSTAFA DÜLGER1, BİLGE KARSLI2
1Cumhuriyet Üniversitesi Tıp Fakültesi Genel Cerrahi A.B.D., SİVAS
2Cumhuriyet Üniversitesi Tıp Fakültesi Anesteziyoloji ve Reanimasyon A.B.D., SİVAS
Postoperative urinary retention is a common complication that follows any surgical procedure. This study has been performed to measure the incidence of postoperative urinary retention in 577 general surgical patients. 111 patients (19.2%) experienced difficulty passing urine postoperatively. 85 of these 111 patients (76.5 %) voided after suprapubic warm water application or mobilization and 26 (23.5%) of them were catheterized. Total incidence of retention requiring catheterization was 4.5%. The incidence of difficulty in passing urine was 23.5% in males and 15.4% in females. The incidence was significantly higher in males (p<0.05).
Difficulty in passing urine were highest in ventral herniorraphy (37.5 %) but the incidence of retention requiring catheterization was highest in median laparatomy (8.5%). 7 of the 88 patients (7.8 %) who had herniorraphy and 6 of 100 patients (6%) who had benign anorectal operations developed retention.