Clinical Effect of Postoperative No Indwelling Urethral Catheters after Pulmonary Lobectomy: A Prospective Cohort Study_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

QIUFang , YANGMei , WANGWei , FANJun ,  CHEGuo-wei

Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu 610041, P. R. China;

Corresponding author：

CHEGuo-wei, Email: chebenben2005@163.com

Keywords：

No indwelling urethral catheters; Urinary retention; Comfort degree; Lung operation

DOI：

10.7507/1007-4848.20150161

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To evaluate the effect of postoperative no indwelling urethral catheters in lung operation. Methods In this prospective cohort study, we recruited 100 patients who were scheduled for pulmonary lobectomy under general anesthesia in a single institution of Thoracic Surgery Department in West China Hospital between April and December 2014. These patients were divided into two groups including a no indwelled urethral catheter group (NIUC, 50 patients) and an indwelled urethral catheter group (IUC, 50 patients). The clinical effect was compared between the two groups. Results There was no statistical difference in incidence of postoperative urinary retention or urinary tract infection between the two groups (P=0.433, 0.050). However, the comfort degrees(0 degree) of patients in the NICU group was significantly higher than that of the ICU group with a statistical difference (P=0.002). While postoperative hospitalization time in the NICU group (P=0.023) was shorter than that in the ICU group (P=0.004). Prostatic hyperplasia was the high risk factor for the lung postoperative urinary retention (P=0.056). Conclusion Postoperative no indwelling urethral catheters in lung operation has the benefit of improving the comfort degrees of inpatients and increasing the postoperation urinary retention.

Citation： QIUFang, YANGMei, WANGWei, FANJun, CHEGuo-wei. Clinical Effect of Postoperative No Indwelling Urethral Catheters after Pulmonary Lobectomy: A Prospective Cohort Study. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2015, 22(7): 634-637. doi: 10.7507/1007-4848.20150161 Copy

1.	Mulroy MF, Alley EA.Management of bladder volumes when using neuraxial anesthesia. Int Anesthesiol Clin, 2012, 50(1):101-110.
2.	Lam TB, Omar MI, Fisher E, et al. Types of indwelling urethral catheters for short-term catheterisation in hospitalised adults. Cochrane Database Syst Rev, 2014, 9:CD004013.
3.	Tobu S, Noguchi M, Hashikawa T, et al. Risk factors of postoperative urinary retention after hip surgery for femoral neck fracture in elderly women. Geriatr Gerontol Int, 2014, 14(3):636-639.
4.	Hollingsworth JM, Rogers MA, Krein SL, et al. Determining the noninfectious complications of indwelling urethral catheters:a systematic review and meta-analysis. Ann Intern Med, 2013, 159(6):401-410.
5.	Nan DN, Fernandez-Ayala M, Farinas-Alvarez C, et al. Nosocomial infection after lung surgery:incidence and risk factors. Chest, 2005, 128(4):2647-2652.
6.	Stallard S, Prescott S. Postoperative urinary retention in general surgical patients. Br J Surg, 1988, 75(11):1141-1143.
7.	王桂娣, 王美芳. 妇科手术患者麻醉前后留置尿管舒适度的比较. 中华护理杂志, 2005, 705-706.
8.	Nicolle LE. Urinary catheter-associated infections. Infect Dis Clin North Am, 2012, 26(1):13-27.
9.	Marschall J, Carpenter CR, Fowler S, et al. Antibiotic prophylaxis for urinary tract infections after removal of urinary catheter:metaanalysis. BMJ, 2013, 346:f3147.
10.	Nanavati AJ, Prabhakar S. Fast-track surgery:Toward comprehensive peri-operative care. Anesth Essays Res, 2014, 8(2):127-133.
11.	Nanavati AJ, Prabhakar S. A comparative study of fast track versus traditional care protocols in gastrointestinal surgery. J Gastrointes Surg, 2014, 18(4):757-767.
12.	Shi H, Mei L, Che G. The current concepts of closed chest drainage in lobectomy of lung cancer. 中国肺癌杂志, 2010,13(11):999-1003.
13.	韩兆杰, 宋志芳, 苏建华, 等. 单胸腔引流管在肺癌术后快速康复中的应用. 中国胸心血管外科临床杂志, 2014, 21(1):17-20.
14.	王天佑. 快速康复外科理念与胸外科. 中国胸心血管外科临床杂志, 2014, 21(1):3-4.
15.	Dal Mago AJ, Helayel PE, Bianchini E, et al. Prevalence and predictive factors of urinary retention assessed by ultrasound in the immediate post-anesthetic period. Rev Bras Anestesiol, 2010, 60(4):383-390.
16.	Souto CA, Rhoden EL, De Conti R, et al. Urethral catheter removal7 or 14 days after radical retropubic prostatectomy:clinical implications and complications in a randomized study. Rev Hosp Clin Fac Med Sao Paulo, 2004, 59(5):262-265.
17.	Hübner M, Schäfer M, Demartines N,et al. Impact of restrictive intravenous fluid replacement and combined epidural analgesia on perioperative volume balance and renal function within a fast track program. J Surg Res, 2012, 173(1):68-74.
18.	Nicolle LE. Urinary catheter-associated infections. Infect Dis Clin North Am, 2012, 26(1):13-27.
19.	Ottesen M, Sørensen M, Rasmussen Y, et al. Fast track vaginal surgery. Acta Obstet Gynecol Scand, 2002, 81(2):138-146.
20.	Bjerregaard LS, Bagi P, Kehlet H. Postoperative urinary retention (POUR) in fast-track total hip and knee arthroplasty. Acta Orthop, 2014, 85(1):8-10.
21.	Jouve P, Bazin JE, Petit A, et al. Epidural versus continuous preperitoneal analgesia during fast-track open colorectal surgery:a randomized controlled trial. Anesthesiology, 2013, 118(3):622-630.

1. Mulroy MF, Alley EA.Management of bladder volumes when using neuraxial anesthesia. Int Anesthesiol Clin, 2012, 50(1):101-110.
2. Lam TB, Omar MI, Fisher E, et al. Types of indwelling urethral catheters for short-term catheterisation in hospitalised adults. Cochrane Database Syst Rev, 2014, 9:CD004013.
3. Tobu S, Noguchi M, Hashikawa T, et al. Risk factors of postoperative urinary retention after hip surgery for femoral neck fracture in elderly women. Geriatr Gerontol Int, 2014, 14(3):636-639.
4. Hollingsworth JM, Rogers MA, Krein SL, et al. Determining the noninfectious complications of indwelling urethral catheters:a systematic review and meta-analysis. Ann Intern Med, 2013, 159(6):401-410.
5. Nan DN, Fernandez-Ayala M, Farinas-Alvarez C, et al. Nosocomial infection after lung surgery:incidence and risk factors. Chest, 2005, 128(4):2647-2652.
6. Stallard S, Prescott S. Postoperative urinary retention in general surgical patients. Br J Surg, 1988, 75(11):1141-1143.
7. 王桂娣, 王美芳. 妇科手术患者麻醉前后留置尿管舒适度的比较. 中华护理杂志, 2005, 705-706.
8. Nicolle LE. Urinary catheter-associated infections. Infect Dis Clin North Am, 2012, 26(1):13-27.
9. Marschall J, Carpenter CR, Fowler S, et al. Antibiotic prophylaxis for urinary tract infections after removal of urinary catheter:metaanalysis. BMJ, 2013, 346:f3147.
10. Nanavati AJ, Prabhakar S. Fast-track surgery:Toward comprehensive peri-operative care. Anesth Essays Res, 2014, 8(2):127-133.
11. Nanavati AJ, Prabhakar S. A comparative study of fast track versus traditional care protocols in gastrointestinal surgery. J Gastrointes Surg, 2014, 18(4):757-767.
12. Shi H, Mei L, Che G. The current concepts of closed chest drainage in lobectomy of lung cancer. 中国肺癌杂志, 2010,13(11):999-1003.
13. 韩兆杰, 宋志芳, 苏建华, 等. 单胸腔引流管在肺癌术后快速康复中的应用. 中国胸心血管外科临床杂志, 2014, 21(1):17-20.
14. 王天佑. 快速康复外科理念与胸外科. 中国胸心血管外科临床杂志, 2014, 21(1):3-4.
15. Dal Mago AJ, Helayel PE, Bianchini E, et al. Prevalence and predictive factors of urinary retention assessed by ultrasound in the immediate post-anesthetic period. Rev Bras Anestesiol, 2010, 60(4):383-390.
16. Souto CA, Rhoden EL, De Conti R, et al. Urethral catheter removal7 or 14 days after radical retropubic prostatectomy:clinical implications and complications in a randomized study. Rev Hosp Clin Fac Med Sao Paulo, 2004, 59(5):262-265.
17. Hübner M, Schäfer M, Demartines N,et al. Impact of restrictive intravenous fluid replacement and combined epidural analgesia on perioperative volume balance and renal function within a fast track program. J Surg Res, 2012, 173(1):68-74.
18. Nicolle LE. Urinary catheter-associated infections. Infect Dis Clin North Am, 2012, 26(1):13-27.
19. Ottesen M, Sørensen M, Rasmussen Y, et al. Fast track vaginal surgery. Acta Obstet Gynecol Scand, 2002, 81(2):138-146.
20. Bjerregaard LS, Bagi P, Kehlet H. Postoperative urinary retention (POUR) in fast-track total hip and knee arthroplasty. Acta Orthop, 2014, 85(1):8-10.
21. Jouve P, Bazin JE, Petit A, et al. Epidural versus continuous preperitoneal analgesia during fast-track open colorectal surgery:a randomized controlled trial. Anesthesiology, 2013, 118(3):622-630.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Clinical Effect of Postoperative No Indwelling Urethral Catheters after Pulmonary Lobectomy: A Prospective Cohort Study

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content