비요로생식계 질환에 대한 수술 후 발생한 급성요폐의 위험인자 분석
Analysis of Risk Factors for Acute Urinary Retention after Non-urogenital Surgery
이성진, 이춘용, 우영남, 김용태,
소속 상세정보
이성진 ( Lee Seoung-Jin )
한양대학교 의과대학 비뇨기과학교실
이춘용 ( Lee Tchun-Yong )
한양대학교 의과대학 비뇨기과학교실
우영남 ( Woo Young-Nam )
한양대학교 의과대학 비뇨기과학교실
김용태 ( Kim Yong-Tae )
한양대학교 의과대학 비뇨기과학교실
KMID : 0358320070480121277
Abstract
Purpose : We performed this study to analyze the risk factors that are related to acute urinary retention in patients undergoing non-urogenital surgery.
Materials and Methods : We retrospectively analyzed the records of 127 patients who were referred to the urology department because of acute urinary retention after non-urogenital surgery at our institution between January 2004 and December 2005, and we also recuited 258 consecutive patients who were undergoing non-urogenital surgery at our institution during the same period as a control group. Multiple parameters were divided into patient factors, surgical factors and anesthetic factors, and these factors were analyzed using univariate and multivariate regression analyses between the non-retention and the retention groups.
Results : On the multivariate analysis, age(≥50 years, p=0.037; odds ratio (OR)=2.8), gender(women, p=0.028; OR=2.5), comorbidity with diabetes mellitus(p=0.003; OR=5.8) were found to independently increase the risk of acute urinary retention. After re-adjustment for the patients’ gender, age, body mass index, diabetes, hypertension, the inability to self-ambulate after the removal of a Foley catheter(p=0.001; adjusted odds ratio (AOR)= 3.8), the amount of intraoperative fluids(≥4,000ml, p=0.017; AOR=4.8) were found to independently increase the risk of acute urinary retention.
Conclusion : The possibility of acute urinary retention for patients undergoing non-urogenital surgery and who have these risk factors is high; therefore, carefully managing urination for the prevention of postoperative acute urinary retention is needed. It is also necessary to make doctors in other departments recognize the importance of this issue. (Korean J Urol 2007;48:1277-1284)
키워드
Acute;Urinary retention;Surgery
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