Prediction of urinary retention after surgery for rectal cancer using voiding efficiency in the 24 h following Foley catheter removal

International Journal of Colorectal Disease - Tập 34 - Trang 1431-1443 - 2019
Ken Imaizumi1,2, Yuichiro Tsukada1, Yoshinobu Komai3, Shogo Nomura4, Koji Ikeda1, Yuji Nishizawa1, Takeshi Sasaki1, Akinobu Taketomi2, Masaaki Ito1
1Department of Colorectal Surgery, National Cancer Centre Hospital East, Chiba, Japan
2Department of Gastroenterological Surgery I, Graduate School of Medicine, Hokkaido University, Sapporo, Japan
3Department of Genitourinary Oncology, Cancer Institute Hospital of Japanese Foundation for Cancer Research, Tokyo, Japan
4Biostatistics Division, Centre for Research Administration and Support, National Cancer Centre, Chiba, Japan

Tóm tắt

Postoperative urinary retention is a common adverse effect after rectal surgery. Current methods for assessing postoperative urinary retention (residual urine volume) are inaccurate and unable to predict long-term retention. Voiding efficiency is an effective indicator of postoperative urinary retention in urological and gynaecological fields, but not in colorectal surgery. We aimed to determine whether voiding efficiency in the initial 24 h after urinary catheter removal was more effective in predicting the incidence of postoperative urinary retention than residual urine volume. In this retrospective, observational study using prospectively collected data from patients who visited the colorectal department of a single institution, 549 patients who underwent rectal cancer surgery between April 2012 and May 2016 were initially enrolled, of which 46 were excluded and 503 finally included. The incidence of postoperative urinary retention was 18.5% (93/503). Multivariable logistic regression analyses revealed that the association of postoperative urinary retention with voiding efficiency < 50% was stronger than that with residual urine volume > 100 mL (odds ratio, 38.30 (residual urine volume) and 138.0 (voiding efficiency)). Voiding efficiency was significantly lower in patients with long-term than in those with short-term postoperative urinary retention (adjusted p value = 0.02), whereas residual urine volume was not different between the two groups. Multivariable logistic regression analysis for long-term postoperative urinary retention showed the strongest association with voiding efficiency < 20% (odds ratio, 25.70). Voiding efficiency is a more effective predictor of postoperative urinary retention than residual urine volume in rectal cancer patients.

Tài liệu tham khảo

Kneist W, Junginger T (2004) Residual urine volume after total mesorectal excision: an indicator of pelvic autonomic nerve preservation? Results of a case-control study. Color Dis 6:432–437 Changchien CR, Yeh CY, Huang ST, Hsieh M-L, Chen J-S, Tang R (2007) Postoperative urinary retention after primary colorectal cancer resection via laparotomy: a prospective study of 2,355 consecutive patients. Dis Colon Rectum 50:1688–1696 Lange MM, Maas CP, Marijnen CAM, Wiggers T, Rutten HJ, Kranenbarg EK, van de Velde CJH, cooperative clinical investigators of the Dutch Total Mesorectal Excision trial (2008) Urinary dysfunction after rectal cancer treatment is mainly caused by surgery. Br J Surg 95:1020–1028 Morino M, Parini U, Allaix ME, Monasterolo G, Brachet Contul R, Garrone C (2008) Male sexual and urinary function after laparoscopic total mesorectal excision. Surg Endosc 23(6):1233–1240 Sterk P, Shekarriz B, Günter S, Nolde J, Keller R, Bruch HP, Shekarriz H (2005) Voiding and sexual dysfunction after deep rectal resection and total mesorectal excision. Int J Color Dis 20:423–427 Akasu T, Sugihara K, Moriya Y (2009) Male urinary and sexual functions after mesorectal excision alone or in combination with extended lateral pelvic lymph node dissection for rectal cancer. Ann Surg Oncol 16:2779–2786 Kin C, Rhoads KF, Jalali M, Shelton AA, Welton ML (2013) Predictors of postoperative urinary retention after colorectal surgery. Dis Colon Rectum 56:738–746 Lee SY, Kang SB, Kim DW, Oh HK, Ihn MH (2014) Risk factors and preventive measures for acute urinary retention after rectal cancer surgery. World J Surg 39:275–282 Yoo BE, Kye BH, Kim HJ, Kim G, Kim JG, Cho HM (2015) Early removal of the urinary catheter after total or tumor-specific mesorectal excision for rectal cancer is safe. Dis Colon Rectum 58:686–691 Kwaan MR, Lee JT, Rothenberger DA, Melton GB, Madoff RD (2015) Early removal of urinary catheters after rectal surgery is associated with increased urinary retention. Dis Colon Rectum 58:401–405 Dindo D, Demartines N, Clavien P-A (2004) Classification of surgical complications. Ann Surg 240:205–213 Hudak KE, Frelich MJ, Rettenmaier CR et al (2015) Surgery duration predicts urinary retention after inguinal herniorrhaphy: a single institution review. Surg Endosc 29:1–5 Chaudhri S, Maruthachalam K, Kaiser A, Robson W, Pickard RS, Horgan AF (2006) Successful voiding after trial without catheter is not synonymous with recovery of bladder function after colorectal surgery. Dis Colon Rectum 49:1066–1070 Wei HB, Fang JF, Zheng ZH, Wei B, Huang JL, Chen TF, Huang Y, Lei PR (2016) Effect of preservation of Denonvilliers’ fascia during laparoscopic resection for mid-low rectal cancer on protection of male urinary and sexual functions. Medicine (Baltimore) 95:e3925–e3926 Ito M, Kobayashi A, Fujita S, Mizusawa J, Kanemitsu Y, Kinugasa Y, Komori K, Ohue M, Ota M, Akazai Y, Shiozawa M, Yamaguchi T, Akasu T, Moriya Y, Colorectal Cancer Study Group of Japan Clinical Oncology Group (2018) Urinary dysfunction after rectal cancer surgery: results from a randomized trial comparing mesorectal excision with and without lateral lymph node dissection for clinical stage II or III lower rectal cancer (Japan Clinical Oncology Group Study, JCOG0212). Eur J Surg Oncol 44:463–468 Lee S, Chung CK, Kim CH, Chung CK, Park SB (2017) Risk factor analysis for postoperative urinary retention after surgery for degenerative lumbar spinal stenosis. Spine J 17:469–477 Kong KH, Young S (2000) Incidence and outcome of poststroke urinary retention: a prospective study. Arch Phys Med Rehabil 81:1464–1467 Chua K, Chuo A, Kong KH (2003) Urinary incontinence after traumatic brain injury: incidence, outcomes and correlates. Brain Inj 17:469–478 Ansquer Y, Marcollet A, Yazbeck C, Salomon L, Poncelet C, Thoury A, Dhainaut C, Madelenat P (2004) The suburethral sling for female stress urinary incontinence: a retropubic or obturator approach? J Am Assoc Gynecol Laparosc 11:353–358 Roehrborn CG, Kaminetsky JC, Auerbach SM, Montelongo RM, Elion-Mboussa A, Viktrup L (2010) Changes in peak urinary flow and voiding efficiency in men with signs and symptoms of benign prostatic hyperplasia during once daily tadalafil treatment. BJU Int 105:502–507 Hsiao SM, Lin HH, Kuo HC (2016) Factors associated with therapeutic efficacy of intravesical onabotulinumtoxinA injection for overactive bladder syndrome. PLoS One 11:e0147137–e0147113 Jhang JF, Jiang YH, Kuo HC (2013) Transurethral incision of the bladder neck improves voiding efficiency in female patients with detrusor underactivity. Int Urogynecol J 25:671–676 Kleeman S, Goldwasser S, Vassallo B, Karram M (2002) Predicting postoperative voiding efficiency after operation for incontinence and prolapse. Am J Obstet Gynecol 187:49–52 Foster RT Sr, Borawski KM, South MM, Weidner AC, Webster GD, Amundsen CL (2007) A randomized, controlled trial evaluating 2 techniques of postoperative bladder testing after transvaginal surgery. Am J Obstet Gynecol 197:627.e1–627.e4 Pulvino JQ, Duecy EE, Buchsbaum GM, Flynn MK (2010) Comparison of 2 techniques to predict voiding efficiency after inpatient urogynecologic surgery. J Urol 184:1408–1412 Tunitsky-Bitton E, Murphy A, Barber MD, Goldman HB, Vasavada S, Jelovsek JE (2015) Assessment of voiding after sling: a randomized trial of 2 methods of postoperative catheter management after midurethral sling surgery for stress urinary incontinence in women. Am J Obstet Gynecol 212:597.e1–597.e9 Benoist S, Panis Y, Denet C, Mauvais F, Mariani P, Valleur P (1999) Optimal duration of urinary drainage after rectal resection: a randomized controlled trial. Surgery 125:135–141 Zmora O, Madbouly K, Tulchinsky H, Hussein A, Khaikin M (2010) Urinary bladder catheter drainage following pelvic surgery—is it necessary for that long? Dis Colon Rectum 53:321–326 Poylin V, Curran T, Cataldo T, Nagle D (2015) Perioperative use of tamsulosin significantly decreases rates of urinary retention in men undergoing pelvic surgery. Int J Color Dis 30:1223–1228 Abrams P (2001) Bladder outlet obstruction index, bladder contractility index and bladder voiding efficiency: three simple indices to define bladder voiding function. BJU Int 84:14–15 Kanda Y (2013) Investigation of the freely available easy-to-use software for medical statistics. Bone Marrow Transplant 48:452–458 Bosch JL, Kranse R, van Mastrigt R, Schröder FH (2005) Dependence of male voiding efficiency on age, bladder contractility and urethral resistance: development of a voiding efficiency nomogram. J Urol 154:190–194 Mundy AR (1982) An anatomical explanation for bladder dysfunction following rectal and uterine surgery. BJU Int 54:501–504 Fujita S, Akasu T, Mizusawa J, Saito N, Kinugasa Y, Kanemitsu Y, Ohue M, Fujii S, Shiozawa M, Yamaguchi T, Moriya Y, Colorectal Cancer Study Group of Japan Clinical Oncology Group (2012) Postoperative morbidity and mortality after mesorectal excision with and without lateral lymph node dissection for clinical stage II or stage III lower rectal cancer (JCOG0212): results from a multicentre, randomised controlled, non-inferiority trial. Lancet Oncol 13:616–621 White WM, Dobmeyer-Dittrich C, Klein FA, Wallace LS (2008) Sacral nerve stimulation for treatment of refractory urinary retention: long-term efficacy and durability. Urology 71:71–74