Format

Send to

Choose Destination
Am J Obstet Gynecol. 2009 May;200(5):571.e1-5. doi: 10.1016/j.ajog.2008.11.021. Epub 2009 Feb 14.

The association between regional anesthesia and acute postoperative urinary retention in women undergoing outpatient midurethral sling procedures.

Author information

1
Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, Alpert Medical School at Brown University, Providence, RI, USA. kwohlrab@wihri.org

Abstract

OBJECTIVE:

The objective of the study was to estimate the association between regional anesthesia and acute postoperative urinary retention in women undergoing outpatient midurethral sling procedures.

STUDY DESIGN:

We performed a retrospective cohort study of women undergoing outpatient midurethral sling procedures. Exposure was defined as the type of anesthesia, categorized as regional (spinal or combined spinal/epidural) or nonregional (general endotracheal, monitored anesthesia care with sedation, or local). The outcome, acute postoperative urinary retention, was defined as a failed voiding trial prior to discharge.

RESULTS:

A total of 131 women met our inclusion criteria. Forty-two women (32%) had regional anesthesia and 89 (68%) women had non-regional anesthesia. Overall, 48 women (36.6%) had acute postoperative urinary retention. Women who had regional anesthesia had an increased odds (adjusted odds ratio, 4.4; 95% confidence interval, 1.9-10.2) of acute postoperative urinary retention compared with women receiving nonregional anesthesia.

CONCLUSION:

Regional anesthesia is a risk factor for acute postoperative urinary retention following outpatient midurethral slings.

PMID:
19223025
PMCID:
PMC2911627
DOI:
10.1016/j.ajog.2008.11.021
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for Elsevier Science Icon for PubMed Central
Loading ...
Support Center