Skip Navigation



BJA Advance Access published online on February 20, 2004
British Journal of Anaesthesia, doi:10.1093/bja/aeh099
© 2004 by The Board of Management and Trustees of the British Journal of Anaesthesia
This Article
Right arrow Full Text (PDF)
Right arrow All Versions of this Article:
92/4/544    most recent
aeh099v1
Right arrow E-Letters: Submit a response to the article
Right arrow Alert me when this article is cited
Right arrow Alert me when E-letters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Lamonerie, L.
Right arrow Articles by Bonnet, F.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Lamonerie, L.
Right arrow Articles by Bonnet, F.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

Accepted November 28, 2003

Clinical investigation

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

L. Lamonerie 1, E. Marret 1, A. Deleuze 1, N. Lembert 1, M. Dupont 1, F. Bonnet 1*

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

* To whom correspondence should be addressed. E-mail: francis.bonnet{at}tnn.ap-hop-paris.fr.


  Abstract

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.

Keywords: Keywords: complications, bladder distension; complications, urinary retention; complications, postoperative; monitoring, bladder ultrasound scanner


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 Anesth. Analg.Home page
W. G. Voelckel, L. Kirchmair, P. Rehder, I. Garoscio, D. Krappinger, and T. J. Luger
Unilateral Anesthesia Does Not Affect the Incidence of Urinary Retention After Low-Dose Spinal Anesthesia for Knee Surgery
Anesth. Analg., September 1, 2009; 109(3): 986 - 987.
[Abstract] [Full Text] [PDF]

Home page
 Anesth. Analg.Home page
R. A. Hanson, M. H. Zornow, M. J. Conlin, and A. M. Brambrink
Laser Resection of the Prostate: Implications for Anesthesia
Anesth. Analg., August 1, 2007; 105(2): 475 - 479.
[Abstract] [Full Text] [PDF]

Home page
 Br J AnaesthHome page
J. Y. Kim, S. J. Lee, B. N. Koo, S. H. Noh, H. K. Kil, H. S. Kim, and S. Y. Ban
The effect of epidural sufentanil in ropivacaine on urinary retention in patients undergoing gastrectomy
Br. J. Anaesth., September 1, 2006; 97(3): 414 - 418.
[Abstract] [Full Text] [PDF]

Home page
 Br J AnaesthHome page
C. Lepouse, C. A. Lautner, L. Liu, P. Gomis, and A. Leon
Emergence delirium in adults in the post-anaesthesia care unit
Br. J. Anaesth., June 1, 2006; 96(6): 747 - 753.
[Abstract] [Full Text] [PDF]

Home page
 Anesth. Analg.Home page
H. Keita, E. Diouf, F. Tubach, T. Brouwer, S. Dahmani, J. Mantz, and J.-M. Desmonts
Predictive Factors of Early Postoperative Urinary Retention in the Postanesthesia Care Unit
Anesth. Analg., August 1, 2005; 101(2): 592 - 596.
[Abstract] [Full Text] [PDF]


Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.