Risk Factors of Postoperative Urinary Retention without Perioperative Urinary Catheterization after Video-assisted Thoracoscopic Surgery Lobectomy_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

QIUFang , YANGMei ,  CHEGuo-wei , WANGWei , LINLin , CHENJuan , LIULun-xu

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

Corresponding author：

CHEGuo-wei, Email: guowei_che@yahoo.com

Keywords：

Urinary retention; Risk factors; Video-assisted thoracoscopic surgery lobectomy; Lung cancer

DOI：

10.7507/1007-4848.20160077

Video：

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Objective To investigate the risk factors of postoperative urinary retention of non-small cell lung cancer patients undergoing video-assisted thoracoscopic surgery (VATS) lobectomy without indwelling urinary catheterization. Methods In this prospective trial, we recruited 148 patients who were scheduled for lung cancer lobectomy under general anesthesia by VATS in Department of Thoracic Surgery in West China Hospital from July through December 2015. These patients were divided into two groups including a trial group and a control group. There was no indwelled urethral catheter in the trial group. And the patients in the control group were indwelled urethral catheter routinely. Postoperative urinary retention, urinary tract infection, the postoperative hospitalization duration and the clinical data were recorded. Results There was no significant difference between the trial group and the control group in postoperative urinary retention (9.46% vs. 6.76%, P=0.087). However, the ratios of the male patients and the patients with history of abdomen operation, and international prostate symptom score (IPSS) of the urinary retention patients (83.33%, 33.33%, 26.55±7.00) were statistically higher than those of the patients without urinary retention (56.62%, 0.00%, 15.31±8.31, P=0.017, P=0.000, P=0.031). Postoperative urinary tract infection rates in the trial group and the patients with urinary retention (4.05%，25%) were statistically higher than those in the control group and the patients without urinary retention (1.35%, 0.74%, P=0.049, P=0.048). Conclusion The risk factors of postoperative urinary retention patients with non-small cell lung cancer undergoing VATS lobectomy are male patients, history of abdomen operation, and moderate to severe hyperplasia of prostate.

Citation： QIUFang, YANGMei, CHEGuo-wei, WANGWei, LINLin, CHENJuan, LIULun-xu. Risk Factors of Postoperative Urinary Retention without Perioperative Urinary Catheterization after Video-assisted Thoracoscopic Surgery Lobectomy. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2016, 23(4): 328-333. doi: 10.7507/1007-4848.20160077 Copy

1.	车国卫, 刘伦旭, 石应康. 加速康复外科临床应用现状与思考.中国胸心血管外科临床杂志, 2016, 23(3): 211-215.
2.	Shah RD, D’Amico TA. Modern impact of video assisted thoracic surgery. J Thorac Dis, 2014, 6(Suppl 6): S631- S636.
3.	车国卫, 李为民, 刘伦旭. 快速肺康复需要围手术期流程优化. 中国胸心血管外科临床杂志, 2016, 23(3): 216-220.
4.	徐志华, 杨梅, 邱舫, 等. 肺癌患者围手术期无痛性留置导尿管的前瞻性队列研究. 中国胸心血管外科临床杂志, 2016, 23(4): 319-323.
5.	Ahmed MR, Sayed Ahmed WA, Atwa KA, et al. Timing of urinary catheter removal after uncomplicated total abdominal hysterectomy: a prospective randomized trial. Eur J Obstet Gynecol Reprod Biol, 2014, 176: 60-63.
6.	Huang Z, Ma J, Shen B, et al. General anesthesia: to catheterize or not? A prospective randomized controlled study of patients undergoing total knee arthroplasty. J Arthroplasty, 2015, 30(3): 502-506.
7.	Liu L, Che G, Pu Q, et al. A new concept of endoscopic lung cancer resection: Single-direction thoracoscopic lobectomy. Surg Oncol, 2010, 19(2): e71- e77.
8.	Zhi XY, Yu JM, Shi YK. Chinese guidelines on the diagnosis and treatment of primary lung cancer (2015 version). Cancer, 2015, 121(Suppl 17): 3165-3181.
9.	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.
10.	杨梅, 樊骏, 周红霞, 等. 胸腔镜肺癌肺叶切除术后16F较28F胸腔引流管应用的临床优势. 中国肺癌杂志, 2015, 18(8): 512-517.
11.	邱舫, 杨梅, 王维, 等. 肺叶切除术后患者无尿管留置的前瞻性队列研究. 中国胸心血管外科临床杂志, 2015, 22(7): 634-637.
12.	Kwaan MR, Lee JT, Rothenberger DA, et al. Early removal of urinary catheters after rectal surgery is associated with increased urinary retention. Dis Colon Rectum, 2015, 58(4): 401-405.
13.	Bunyavejchevin S. Reliability of Thai-Version Overactive Bladder Symptom Scores (OABSS) Questionnaire and the Correlations of OABSS with Voiding Diary, International Prostate Symptom Score (IPSS), and Patient Perception of Bladder Condition (PPBC) Questionnaires. J Med Assoc Thai, 2015, 98(11): 1064-1074.
14.	Yoo BE, Kye BH, Kim HJ, et al. Early removal of the urinary catheter after total or tumor-specific mesorectal excision for rectal cancer is safe. Dis Colon Rectum, 2015, 58(7): 686-691.
15.	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.
16.	Roger C, Feneley L, Ian B, et al. Urinary catheters: history, current status, adverse events and research agenda. J Med Eng Technol, 2015, 39(8): 459-470.
17.	Kwaan MR, Lee JT, Rothenberger DA, et al. Early removal of urinary catheters after rectal surgery is associated with increased urinary retention. Dis Colon Rectum, 2015, 58(4): 401-405.
18.	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.
19.	Stallard S, Prescott S. Postoperative urinary retention in general surgical patients. Br J Surg, 1988, 75(11): 1141-1143.
20.	Sánchez Villar I. Removal of short-term indwelling urethral catheters. Nurs Stand, 2008, 22(22): 42-45.

1. 车国卫, 刘伦旭, 石应康. 加速康复外科临床应用现状与思考.中国胸心血管外科临床杂志, 2016, 23(3): 211-215.
2. Shah RD, D’Amico TA. Modern impact of video assisted thoracic surgery. J Thorac Dis, 2014, 6(Suppl 6): S631- S636.
3. 车国卫, 李为民, 刘伦旭. 快速肺康复需要围手术期流程优化. 中国胸心血管外科临床杂志, 2016, 23(3): 216-220.
4. 徐志华, 杨梅, 邱舫, 等. 肺癌患者围手术期无痛性留置导尿管的前瞻性队列研究. 中国胸心血管外科临床杂志, 2016, 23(4): 319-323.
5. Ahmed MR, Sayed Ahmed WA, Atwa KA, et al. Timing of urinary catheter removal after uncomplicated total abdominal hysterectomy: a prospective randomized trial. Eur J Obstet Gynecol Reprod Biol, 2014, 176: 60-63.
6. Huang Z, Ma J, Shen B, et al. General anesthesia: to catheterize or not? A prospective randomized controlled study of patients undergoing total knee arthroplasty. J Arthroplasty, 2015, 30(3): 502-506.
7. Liu L, Che G, Pu Q, et al. A new concept of endoscopic lung cancer resection: Single-direction thoracoscopic lobectomy. Surg Oncol, 2010, 19(2): e71- e77.
8. Zhi XY, Yu JM, Shi YK. Chinese guidelines on the diagnosis and treatment of primary lung cancer (2015 version). Cancer, 2015, 121(Suppl 17): 3165-3181.
9. 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.
10. 杨梅, 樊骏, 周红霞, 等. 胸腔镜肺癌肺叶切除术后16F较28F胸腔引流管应用的临床优势. 中国肺癌杂志, 2015, 18(8): 512-517.
11. 邱舫, 杨梅, 王维, 等. 肺叶切除术后患者无尿管留置的前瞻性队列研究. 中国胸心血管外科临床杂志, 2015, 22(7): 634-637.
12. Kwaan MR, Lee JT, Rothenberger DA, et al. Early removal of urinary catheters after rectal surgery is associated with increased urinary retention. Dis Colon Rectum, 2015, 58(4): 401-405.
13. Bunyavejchevin S. Reliability of Thai-Version Overactive Bladder Symptom Scores (OABSS) Questionnaire and the Correlations of OABSS with Voiding Diary, International Prostate Symptom Score (IPSS), and Patient Perception of Bladder Condition (PPBC) Questionnaires. J Med Assoc Thai, 2015, 98(11): 1064-1074.
14. Yoo BE, Kye BH, Kim HJ, et al. Early removal of the urinary catheter after total or tumor-specific mesorectal excision for rectal cancer is safe. Dis Colon Rectum, 2015, 58(7): 686-691.
15. 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.
16. Roger C, Feneley L, Ian B, et al. Urinary catheters: history, current status, adverse events and research agenda. J Med Eng Technol, 2015, 39(8): 459-470.
17. Kwaan MR, Lee JT, Rothenberger DA, et al. Early removal of urinary catheters after rectal surgery is associated with increased urinary retention. Dis Colon Rectum, 2015, 58(4): 401-405.
18. 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.
19. Stallard S, Prescott S. Postoperative urinary retention in general surgical patients. Br J Surg, 1988, 75(11): 1141-1143.
20. Sánchez Villar I. Removal of short-term indwelling urethral catheters. Nurs Stand, 2008, 22(22): 42-45.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Risk Factors of Postoperative Urinary Retention without Perioperative Urinary Catheterization after Video-assisted Thoracoscopic Surgery Lobectomy

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