DOI: 10.36347/sasjs

Pages: 157-164

Postoperative urinary retention is a common and potentially major complication faced during early postoperative period but is poorly understood. Postoperative urinary retention is condition in which the patient after a surgical procedure difficulty in micturition in spite of normal renal function, a full bladder with absence of any lower urinary tract obstruction. Postoperative urinary retention related to different patient characters, the absence of uniform defined criteria and the multifactorial causes including age, gender, Excessive perioperative fluids, type of anesthesia and type of surgery. Urological, some orthopedic procedures and benign anorectal procedures are known to carry a higher risk. Several contributing mechanisms of Postoperative urinary retention include traumatic instrumentation, bladder overdistention and decreased awareness of bladder sensation, reduced bladder contractility, raised outlet resistance, decreased micturition reflex activity and nociceptive inhibitory reflex with preexistent outlet pathology.Hence this study is performed to find out the incidence of postoperative urinary retention in patients, to correlate the effect of age, sex, site & duration of surgery, type of anesthesia used, amount of perioperative fluid given, postoperative analgesia and any other factor associated with postoperative urinary retention and to detect the effectiveness & complication rates of overnight Catheterization & in/out catheterization requiring recatheterisation in next 24 hours.