Abstract
Ileostomy takedown has been proposed as one of the procedures where the placement of the catheters can be avoided, however, the rate of UR after ileostomy takedown is unknown. The aim of this study is to investigate the rate of UR after ileostomy takedown and the potential benefit of perioperative Tamsulosin. Retrospective cohort study of men undergoing ileostomy takedown after pelvic colorectal surgery between January 2009 and December 2016. A total of 100 patients were identified. The rate of UR after ileostomy takedown was high at 26%. There were no instances of urinary tract infection, however, most instances of UR were in patients who did not have catheter in surgery (96% vs. 4%, p = 0.044). Perioperative use of tamsulosin did not result in significant decrease in urinary retention. Rates of urinary retention after ileostomy takedown are high. Although not placing the catheter may be protective against urinary tract infections, patients should be counseled about the possibility of UR after ileostomy takedown.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Saint S (2000) Clinical and economic consequences of nosocomial catheter-related bacteriuria. Am J Infect Control 28:68–75
Kang C, Chaudhry O, Halabi W et al (2012) Risk factors for postoperative urinary tract infection and urinary retention in patients undergoing surgery for colorectal cancer. Am Surg 78(10):1100–1104
Kowalik U, Plante MK (2016) Urinary retention in surgical patients. Surg Clin N Am 96(3):453–467
Wald H, Ma A, Bratzler D et al (2008) Indwelling urinary catheter use in postoperative period: analysis of the national surgical infection prevention project data. Arch Surg 143(6):551–557
Patel DN, Felder SI, Luu M, Daskivich TJ, Zaghiyan KN, Fleshner P (2018) Early urinary catheter removal following pelvic colorectal surgery: a prospective, randomized, noninferiority trial. Dis Colon Rectum 61(10):1180–1186
Benoist S, Panis Y, Denet C et al (1999) Optimal duration of urinary drainage after rectal resection: a randomized controlled trial. Surgery 125(2):135–141
Kaplan JA, Carter JT (2018) Near-perfect compliance with SCIP Inf-9 had no effect on catheter utilization or urinary tract infections at an academic medical center. Am J Surg 215(1):23–27
Changchien C, Yeh C, Huang S et al (2007) Postoperative urinary retention after primary colorectal cancer resection via laparotomy: a prospective study of 2355 consecutive patients. Dis Colon Rectum 50(10):1688–1696
Kin C, Rhoads K, Jalali M et al (2013) Predictors of postoperative urinary retention after colorectal surgery. Dis Colon Rectum 56(6):738–746
Mason SE, Scott AJ, Mayer E, Purkayastha S (2016) Patient-related risk factors for urinary retention following ambulatory general surgery: a systematic review and meta-analysis. Am J Surg 211(6):1126–1134
Toritani K, Watanabe J, Suwa Y, Suzuki S, Nakagawa K, Suwa H, Ishibe A, Ota M, Kunisaki C, Endo I (2019) The risk factors for urinary dysfunction after autonomic nerve-preserving rectal cancer surgery: a multicenter retrospective study at Yokohama Clinical Oncology Group. Int J Colorectal Dis. 34(10):1697–1703
Wu A, Auerbach A, Aaronson D (2012) National incidence and outcomes of postoperative urinary retention in the Surgical Care Improvement Project. Am J Surg 204(2):167–171
Shadle B, Barbaro C, Waxman K et al (2009) Predictors of postoperative urinary retention. Am Surg 75(10):922–924
Poylin V, Cataldo T, Nagle D (2015) Perioperative use of tamsulosin significantly decreases rates of urinary retention in men undergoing pelvic surgery. Int J Colorectal Dis 30(9):1223–1228
Cheung F, Sandhu JS (2018) Voiding dysfunction after non-urologic pelvic surgery. Curr Urol Rep 19(9):75
Nickel J (2003) The use of alpha1-adrenoceptor antagonists in lower urinary tract symptoms: beyond benign prostatic hyperplasia. Urology 62(3 Suppl 1):34–41
Masumori N, Tsukamoto T, Horita H et al (2013) Nα1-blocker tamsulosin as initial treatment for patients with benign prostatic hyperplasia: 5-year outcome analysis of a prospective multicenter study. Int J Urol 20(4):421–428
Jeong I, You D, Yoon J et al (2014) Impact of tamsulosin on urinary retention following early catheter removal after robot-assisted laparoscopic radical prostatectomy: a prospective randomized controlled trial. Int J Urol 21(2):164–168
Fitzpatrick JM, Desgrandchamps F, Adjali K, Gomez Guerra L, Hong SJ, El Khalid S, Ratana-Olarn K, Reten-World Study Group (2012) Management of acute urinary retention: a worldwide survey of 6074 men with benign prostatic hyperplasia. BJU Int. 109(1):88–95
Agha RA, Borrelli MR, Vella-Baldacchino M, Thavayogan R, Orgill DP, for the STROCCS Group (2017) The STROCCS statement: strengthening the reporting of cohort studies in surgery. Int J Surg 46:198–202
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
None of the authors have any relevant disclosures.
Research involving human participants and/or animals
Retrospective review not involving human participants or animals.
Informed consent
This is a retrospective review of the medical records, informed consent was not required.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Cataneo, J., Córdova-Cassia, C., Curran, T. et al. Rate of urinary retention after ileostomy takedown in men and role of routine placement of urinary catheter. Updates Surg 72, 1181–1185 (2020). https://doi.org/10.1007/s13304-020-00763-0
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s13304-020-00763-0