Post-operative Urinary Dysfunction Following Shoulder Surgery: Rates and Risk Factors.

• DOI: 10.22038/abjs.2022.62834.3050
• Publication Date: 2022-12-01
• Authors: Jason S Klein; Grant Jamgochian; Ocean Thakar; Arjun Singh; Samuel Huntley; Thema Nicholson; Jared Thomas; Surena Namdari; Joseph A. Abboud
• Keywords: Urinary retention

Post-operative urinary retention (POUR) and dysfunction are recognized complications following orthopaedic surgery. Recent literature has focused on its associated hip knee reconstruction lower extremity There is a paucity of focusing POUR shoulder The purpose this study to describe the rates in patients undergoing surgery as well risk factors.This was single institution, prospective cohort study. Eligibility criteria included older than 50 years age open or arthroscopic primary outcome American Urological Association (AUA) symptom score (7 questions total scored 0-5, 35 points max) administered before after Higher scores reflect worse dysfunction. Intra-operative data such type surgery, anesthesia, use anticholinergics, peripheral nerve block, length case, amount intravenous fluids were collected.Of 194 patients, mean 61.4 (Standard Deviation (S.D.) = 13.0)) average BMI 29.2 (S.D. 5.6). sample 35.6% female. Overall, 46.4% reported AUA post-operatively within first 3 5 days, including 4.1% which clinically defined "moderately worse" (>5 point worse) "much (>11 worse). Worse preoperative correlated with postop linear regression analysis (r=0.883, P<0.0001). Males history BPH showed statistically significant positive association worsening postoperatively (P=0.039). Four (2.1%) required postoperative catheterization. A significantly higher percentage ≥11 experienced function (P=0.04).Worsening common. may be used identify at-risk track changes post-operatively. Men diagnosis at particularly high risk. Further investigation needed elucidate impact patient outcomes, satisfaction, cost role prophylactic medications.