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URINARY RETENTION FOLLOWING ROUTINE NEUROSURGICAL SPINE PROCEDURE

Dr Omar Quddus Khan, Muhammad Imran Hanif, Dr Humayun Safdar.

Background: Postoperative urinary retention (POUR) is a frequent disorder in adult neurosurgical patients. It can lead to urogenital damage, prolonged hospital stay, higher cost, and infection. This study examines several risk factors that contribute to POUR in a number of neurosurgical patients. Methods: A 137 neurosurgical patients were selected for study. Patients were followed up for the development of POUR, initial post void residual (PVR1) >250 ml 6 hours after removal of an indwelling urinary catheter (IUC) were used as the established protocol criteria. \IUCs were reinserted and kept in for 5-7 days, for patients with PVR >250 ml on the third check Results: Total 137 patients were recruited for the study 68 (50%) were male, 41% (56/137) were 60 years or older, 86% (118/137) underwent spinal surgery, and 54% (74/137) had anesthesia over 200 minutes. Incidence of POUR was 39.4% (54/137). Significantly higher rates of PVR1 >250 were find out in males, patients who had age more than 60 years, and those who experienced spine surgery, only gender, surgery time, and surgery type remained significant when considering all the characteristics of patients. Moreover, PVR1 >250 was positively associated with longer length of stay. The association of IUC reinsertion with male gender was significant. Conclusion: Males, duration of anesthesia >200 minutes, increase in age, and spinal surgery are the most important risk factors associated with POUR in neurosurgical patients.

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