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BJA Advance Access originally published online on February 20, 2004
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British Journal of Anaesthesia, 2004, Vol. 92, No. 4 544-546
© 2004 The Board of Management and Trustees of the British Journal of Anaesthesia

Clinical Investigations

Prevalence of postoperative bladder distension and urinary retention detected by ultrasound measurement

L. Lamonerie, E. Marret, A. Deleuze, N. Lembert, M. Dupont and F. Bonnet*

Service d’Anesthésie-Réanimation, Hôpital Tenon, Assistance Publique Hôpitaux de Paris, 4 rue de la Chine, 75970 Paris cedex 20, France

*Corresponding author. E-mail: francis.bonnet@tnn.ap-hop-paris.fr

Background. Postoperative bladder distension and urinary retention are commonly underestimated. Ultrasound enables accurate measurement of bladder volume and thus makes it possible to determine the prevalence of postoperative bladder distension.

Methods. Using ultrasound, we measured the volume of the bladder contents at the time of discharge from the recovery room in 177 adult patients who had undergone thoracic, vascular, abdominal, orthopaedic or ENT surgery.

Results. Forty-four per cent of the patients had a bladder volume >500 ml and 54% of the 44%, who had no symptoms of bladder distension, were unable to void spontaneously within 30 min. The risk factors for urinary retention were age >60 yr (odds ratio (OR) 2.11, 95% confidence interval (CI) 1.01–4.38), spinal anaesthesia (OR 3.97, 95% CI 1.32–11.89) and duration of surgery >120 min (OR 3.03, 95% CI 1.39–6.61).

Conclusion. Before discharge from the recovery room it seems worthwhile to systematically check the bladder volume with a portable ultrasound device in patients with risk factors.

Br J Anaesth 2004; 92: 544–6


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