hkr.sePublications
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Perioperative bladder distension: a prospective study
Department of Clinical Science and Education, Karolinska Institutet, Södersjukhuset, Stockholm.
Department of Clinical Science and Education, Karolinska Institutet, Södersjukhuset, Stockholm.
Kristianstad University College, School of Health and Society.
Department of Clinical Science and Education, Karolinska Institutet, Södersjukhuset, Stockholm.
Show others and affiliations
2009 (English)In: Scandinavian Journal of Urology and Nephrology, ISSN 0036-5599, Vol. 43, no 1, 58-62 p.Article in journal (Refereed) Published
Abstract [en]

Objective. Postoperative urinary retention and bladder distension are frequent complications of surgery. The aim of this study was to determine the incidence of perioperative bladder distension in a surgical setting and to identify predisposing factors among patients undergoing common general and orthopaedic procedures. Material and methods. This was a prospective observational study of 147 adult patients admitted to orthopaedic and surgical departments. Bladder volumes were measured with an ultrasound scanner on three occasions: after emptying the bladder before being transported to the operating theatre, and then immediately before and after surgery. Results. Thirty-three patients (22%) developed bladder distension (500 ml), eight preoperatively and 25 postoperatively. A total of 21 patients (14%) had a bladder volume 300 ml immediately before surgery. Orthopaedic patients were more likely to develop preoperative bladder distension than surgical patients and had significantly higher postvoid residual volumes. In the binary logistic regression analysis age, gender and time of anaesthesia could not predict bladder distension. Patients undergoing orthopaedic surgical procedures, however, were prone to bladder distension (odds ratio 6.87, 95% confidence interval 1.76 to 26.79, p=0.006). Conclusions. This study shows that orthopaedic surgical patients are more prone to bladder distension perioperatively. The conventional method of encouraging patients to void at the ward before being transported to the operating theatre does not necessarily mean an empty bladder at the start of the operation.

Place, publisher, year, edition, pages
2009. Vol. 43, no 1, 58-62 p.
Keyword [en]
Bladder distension, postoperative complications, urinary retention, POSTOPERATIVE URINARY RETENTION, TOTAL JOINT ARTHROPLASTY, MANAGEMENT, CATHETERIZATION
National Category
Nursing Social Sciences Interdisciplinary
Identifiers
URN: urn:nbn:se:hkr:diva-5716DOI: 10.1080/00365590802299122ISI: 000262508600011PubMedID: 18979281ISBN: 0036-5599 OAI: oai:DiVA.org:hkr-5716DiVA: diva2:286702
Available from: 2010-01-15 Created: 2010-01-15 Last updated: 2010-01-15Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full textPubMed
By organisation
School of Health and Society
In the same journal
Scandinavian Journal of Urology and Nephrology
NursingSocial Sciences Interdisciplinary

Search outside of DiVA

GoogleGoogle Scholar

Altmetric score

Total: 69 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf