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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Abstract Full text Figures/Tables Video References Cited by

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.	車國衛, 劉倫旭, 石應康. 加速康復外科臨床應用現狀與思考.中國胸心血管外科臨床雜志, 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.	車國衛, 李為民, 劉倫旭. 快速肺康復需要圍手術期流程優化. 中國胸心血管外科臨床雜志, 2016, 23(3): 216-220.
4.	徐志華, 楊梅, 邱舫, 等. 肺癌患者圍手術期無痛性留置導尿管的前瞻性隊列研究. 中國胸心血管外科臨床雜志, 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.	韓兆杰, 宋志芳, 蘇建華, 等. 單胸腔引流管在肺癌術后快速康復中的應用. 中國胸心血管外科臨床雜志, 2014, 21(1): 17-20.
10.	楊梅, 樊駿, 周紅霞, 等. 胸腔鏡肺癌肺葉切除術后16F較28F胸腔引流管應用的臨床優勢. 中國肺癌雜志, 2015, 18(8): 512-517.
11.	邱舫, 楊梅, 王維, 等. 肺葉切除術后患者無尿管留置的前瞻性隊列研究. 中國胸心血管外科臨床雜志, 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. 快速康復外科理念與胸外科. 中國胸心血管外科臨床雜志, 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. 車國衛, 劉倫旭, 石應康. 加速康復外科臨床應用現狀與思考.中國胸心血管外科臨床雜志, 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. 車國衛, 李為民, 劉倫旭. 快速肺康復需要圍手術期流程優化. 中國胸心血管外科臨床雜志, 2016, 23(3): 216-220.
4. 徐志華, 楊梅, 邱舫, 等. 肺癌患者圍手術期無痛性留置導尿管的前瞻性隊列研究. 中國胸心血管外科臨床雜志, 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. 韓兆杰, 宋志芳, 蘇建華, 等. 單胸腔引流管在肺癌術后快速康復中的應用. 中國胸心血管外科臨床雜志, 2014, 21(1): 17-20.
10. 楊梅, 樊駿, 周紅霞, 等. 胸腔鏡肺癌肺葉切除術后16F較28F胸腔引流管應用的臨床優勢. 中國肺癌雜志, 2015, 18(8): 512-517.
11. 邱舫, 楊梅, 王維, 等. 肺葉切除術后患者無尿管留置的前瞻性隊列研究. 中國胸心血管外科臨床雜志, 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. 快速康復外科理念與胸外科. 中國胸心血管外科臨床雜志, 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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