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Multicenter Study
. 2022 Oct;24(10):1164-1171.
doi: 10.1111/codi.16184. Epub 2022 May 31.

Acute urinary retention and urinary tract infection after short-course urinary drainage in colon or high rectum anastomoses: Post hoc analysis of a multicentre prospective database from the GRACE group

Aurélien Venara  1   2   3 , Jean François Hamel  2   3   4 , Jean-Marc Régimbeau  5   6 , Julien Gillet  1   2 , Jean Joris  7 , Eddy Cotte  8   9 , Karem Slim  10 ; GRACE group
Collaborators, Affiliations
Multicenter Study

Acute urinary retention and urinary tract infection after short-course urinary drainage in colon or high rectum anastomoses: Post hoc analysis of a multicentre prospective database from the GRACE group

Aurélien Venara et al. Colorectal Dis. 2022 Oct.

Abstract

Aim: The aim was to define the risk factors for acute urinary retention (AUR) and urinary tract infections (UTIs) in colon or high rectum anastomosis patients based on the absence of a urinary catheter (UC) or the early removal of the UC (<24 h).

Method: This is a multicentre, international retrospective analysis of a prospective database including all patients undergoing colon or high rectum anastomoses. Patients were part of the enhanced recovery programme audit, developed by the Francophone Group for Enhanced Recovery after Surgery, and were included if no UC was inserted or if a UC was inserted for <24 h.

Results: In all, 9389 patients had colon or high rectum anastomoses using laparoscopy, open surgery or robotic surgery. Among these patients, 4048 were excluded because the UC was left in place >24 h (43.1%) and 97 were excluded because the management of UC was unknown (1%). Among the 5244 colon or high rectum anastomoses patients included, AUR occurred in 5.2% and UTI occurred in 0.7%. UCs were in place for <24 h in 2765 patients (52.7%) and 2479 did not have UCs in place (47.3%). Multivariate analysis showed that management of the UC was not significantly associated with the occurrence of AUR and that risk factors for AUR were male gender, ≥65 years old, having an American Society of Anesthesiologists score ≥3 and receiving epidural analgesia. Conversely, being of male gender was a protective factor of UTI, while being ≥65 years old, having open surgery and receiving epidural analgesia were risk factors for UTIs. The management of the UC was not significantly associated with the occurrence of UTIs but the occurrence of AUR was a more significant risk factor for UTIs.

Conclusion: UCs in place for <24 h did not reduce the occurrence of AUR or UTI compared to the absence of UCs.

Keywords: acute urinary retention; colorectal surgery; enhanced recovery programme; urinary drainage; urinary tract infection.

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Conflict of interest statement

Professor Venara declares a conflict of interest with Takeda, Coloplast, ThermoFisher, Biom'up, Sanofi‐Aventis (consulting and lecture). The other authors declare no conflict of interest.

Figures

FIGURE 1
FIGURE 1
Flow chart of our population
See this image and copyright information in PMC

References

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