Predictors of Catheter-related Bladder Discomfort After Gynaecological Surgery

Overview

Journal BMC Anesthesiol

Publisher Biomed Central

Specialty Anesthesiology

Date 2020 Apr 30

PMID 32345223

Citations 7

Authors

S Y Li

L P Song

Y S Ma

X M Lin

Affiliations

Soon will be listed here.

Abstract

Background: Urinary catheterization is universally used during surgery, and the incidence of postoperative catheter-related bladder discomfort (CRBD) is very high during recovery. We conducted this study to identify the incidence and predictors of postoperative CRBD after gynaecological surgery in the post-anesthesia care unit (PACU).

Methods: This was a prospective observational study. Patients undergoing gynaecological surgery under general anesthesia with intra-operative urinary catheterization were enrolled. We collected the clinical data, incidence and severity of CRBD, and postoperative pain for the patients. Predictive factors of CRBD were analysed by univariate and multivariate analysis.

Results: A total of 407 patients were included in this study. The incidence of CRBD after gynaecological surgery was 64.6% (mild CRBD: 22.8%; moderate CRBD: 34.2%; and severe CRBD: 7.6%). Univariate analysis showed that age, type of surgery, type of laparoscopic surgery, additional analgesics, and postoperative pain were influencing factors for CRBD. Based on multivariate logistic regression analysis, age ≥ 50 years, uterus-related laparoscopic surgery, and lack of additional analgesics were independent predictors of moderate or severe CRBD.

Conclusions: This observational study revealed that the incidence of CRBD after gynaecological surgery in PACU was very high. Age ≥ 50 years, uterus-related laparoscopic surgery, and lack of additional analgesics were independent predictors of CRBD.

Trial Registration: ChiCTR1800016390. Registered on 30 May 2018.

Citing Articles

The Development of Publications on Catheter-Related Bladder Discomfort: A Bibliometric Analysis.

Jiang W, Chen X, Peng Y, Zhai W, Zhang X, Zhou Y Ther Clin Risk Manag. 2025; 21:137-147.

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Machine learning-based prediction of the risk of moderate-to-severe catheter-related bladder discomfort in general anaesthesia patients: a prospective cohort study.

Dai S, Ren Y, Chen L, Wu M, Wang R, Zhou Q BMC Anesthesiol. 2024; 24(1):334.

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Construction of a nomogram for predicting catheter-related bladder discomfort in patients with end-stage renal disease after renal transplantation: a retrospective study.

Liu K, Liu S, Peng Z, Li N, Sun H PeerJ. 2024; 12:e17530.

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Effect of magnesium sulfate perioperative infusion on postoperative catheter-related bladder discomfort in male patients undergoing laparoscopic radical resection of gastrointestinal cancer: a prospective, randomized and controlled study.

Jiang W, Zeng X, Zhou X, Liao O, Ju F, Zhao Z BMC Anesthesiol. 2023; 23(1):396.

PMID: 38042781 PMC: 10693125. DOI: 10.1186/s12871-023-02346-z.

Comparison of tramadol and lornoxicam for the prevention of postoperative catheter-related bladder discomfort: a randomized controlled trial.

Liao X, Xie M, Li S, Yu X Perioper Med (Lond). 2023; 12(1):27.

PMID: 37337277 PMC: 10278340. DOI: 10.1186/s13741-023-00317-z.

References

Lim N, Yoon H . Factors Predicting Catheter-Related Bladder Discomfort in Surgical Patients. J Perianesth Nurs. 2017; 32(5):400-408. DOI: 10.1016/j.jopan.2016.03.012. View

Moharari R, Lajevardi M, Khajavi M, Najafi A, Shariat Moharari G, Etezadi F . Effects of intra-operative ketamine administration on postoperative catheter-related bladder discomfort: a double-blind clinical trial. Pain Pract. 2013; 14(2):146-50. DOI: 10.1111/papr.12055. View

Binhas M, Motamed C, Hawajri N, Yiou R, Marty J . Predictors of catheter-related bladder discomfort in the post-anaesthesia care unit. Ann Fr Anesth Reanim. 2011; 30(2):122-5. DOI: 10.1016/j.annfar.2010.12.009. View

Li S, Song L, Ma Y, Lin X . Tramadol for the treatment of catheter-related bladder discomfort: a randomized controlled trial. BMC Anesthesiol. 2018; 18(1):194. PMC: 6302399. DOI: 10.1186/s12871-018-0659-5. View

Kim H, Lee Y, Jeon Y, Hwang J, Lim Y, Park J . The effect of intraoperative dexmedetomidine on postoperative catheter-related bladder discomfort in patients undergoing transurethral bladder tumour resection: A double-blind randomised study. Eur J Anaesthesiol. 2014; 32(9):596-601. DOI: 10.1097/EJA.0000000000000196. View

Anderson K . Pharmacology of lower urinary tract smooth muscles and penile erectile tissues. Pharmacol Rev. 1993; 45(3):253-308. View

Agarwal A, Raza M, Singhal V, Dhiraaj S, Kapoor R, Srivastava A . The efficacy of tolterodine for prevention of catheter-related bladder discomfort: a prospective, randomized, placebo-controlled, double-blind study. Anesth Analg. 2005; 101(4):1065-1067. DOI: 10.1213/01.ane.0000167775.46192.e9. View

Agarwal A, Dhiraaj S, Pawar S, Kapoor R, Gupta D, Singh P . An evaluation of the efficacy of gabapentin for prevention of catheter-related bladder discomfort: a prospective, randomized, placebo-controlled, double-blind study. Anesth Analg. 2007; 105(5):1454-7, table of contents. DOI: 10.1213/01.ane.0000281154.03887.2b. View

Kim H, Park H, Lee J, Jeong M, Lee K . Sevoflurane vs. propofol in post-operative catheter-related bladder discomfort: a prospective randomized study. Acta Anaesthesiol Scand. 2017; 61(7):773-780. DOI: 10.1111/aas.12922. View

10.

Bai Y, Wang X, Li X, Pu C, Yuan H, Tang Y . Management of Catheter-Related Bladder Discomfort in Patients Who Underwent Elective Surgery. J Endourol. 2014; 29(6):640-9. PMC: 4490590. DOI: 10.1089/end.2014.0670. View

11.

Agarwal A, Dhiraaj S, Singhal V, Kapoor R, Tandon M . Comparison of efficacy of oxybutynin and tolterodine for prevention of catheter related bladder discomfort: a prospective, randomized, placebo-controlled, double-blind study. Br J Anaesth. 2006; 96(3):377-80. DOI: 10.1093/bja/ael003. View

12.

Tauzin-Fin P, Sesay M, Svartz L, Krol-Houdek M, Maurette P . Sublingual oxybutynin reduces postoperative pain related to indwelling bladder catheter after radical retropubic prostatectomy. Br J Anaesth. 2007; 99(4):572-5. DOI: 10.1093/bja/aem232. View

13.

Li C, Liu Z, Yang F . Predictors of catheter-related bladder discomfort after urological surgery. J Huazhong Univ Sci Technolog Med Sci. 2014; 34(4):559-562. DOI: 10.1007/s11596-014-1315-z. View

14.

Agarwal A, Yadav G, Gupta D, Singh P, Singh U . Evaluation of intra-operative tramadol for prevention of catheter-related bladder discomfort: a prospective, randomized, double-blind study. Br J Anaesth. 2008; 101(4):506-10. DOI: 10.1093/bja/aen217. View

15.

Nam K, Seo J, Ryu J, Oh A, Lee T, Park H . Randomized, clinical trial on the preventive effects of butylscopolamine on early postoperative catheter-related bladder discomfort. Surgery. 2014; 157(2):396-401. DOI: 10.1016/j.surg.2014.05.017. View

16.

Igawa Y . Discussion: functional role of M(1), M(2), and M(3) muscarinic receptors in overactive bladder. Urology. 2000; 55(5A Suppl):47-9; discussion 50. DOI: 10.1016/s0090-4295(99)00493-8. View