Urinary Retention After Hemorrhoidectomy: Can We Reduce Risk?

Abstract

retention after hemorrhoidectomy: Can we reduce risk? Abstract Urinary Retention after Hemorrhoidectomy: Can we reduce risk? Objective: Hemorrhoidectomy is a common surgery and urinary retention (UR) after anorectal surgeries is an unwelcome complication. In this study we aimed to investigate risk of UR after hemorrhoidectomy and predict the factors associated with UR. Methods: Between 2016-2018 years, 180 patients who undergone hemorrhoidectomy by general anesthesia were included study. The patients with urological symptoms and urological surgery before were excluded. Results: Median age of patients was 45.5 (IQR: 40.0-55.0) years. There was 116 (64.4%) of male and 64 (35.6%) of woman. Urinary retention was seen significantly higher in men (p=0.03) but, visual pain scale (VPS) and the analgesic requirement were similar between men and women (p=0.39 and p=0.86, respectively). Regression analysis showed that male gender, operation time and analgesic requirement was not associated UR and the VPS is only predictive factor for UR (OR:0.224, p<0.001). Conclusion: The UR is an often and worrisome complication. The VPS is the important predictive factor for urinary retention. The sufficient analgesia could be the key to prevent this complication.