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Preoperative Bladder Bowel Dysfunction Is the Most Important Predictive Factor for Postoperative Urinary Retention After Robot-Assisted Laparoscopic Ureteral Reimplantation via An Extravesical Approach: A Multi-Center Study

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Abstract
Introduction: Postoperative acute urinary retention (pAUR) is a known occurrence after robot-assisted laparoscopic ureteral reimplantation via an extravesical approach (RALUR-EV). We hypothesized that the risk factor of pAUR after RALUR-EV might be similar to that of pAUR after open reimplantation. We aimed at performing a retrospective multi-institutional study to evaluate the risk factors for pAUR after RALUR-EV. Materials and Methods: Perioperative data collected from two tertiary referral hospitals included demographics and perioperative variables such as bladder bowel dysfunction (BBD) status, vesicoureteral reflux (VUR) grade, and laterality. pAUR was defined as the need for urethral catheter replacement after removal of the initial postoperative catheter. Univariate and multivariate analyses were performed to identify risk factors for pAUR. Results: A total of 117 patients with 174 renal units from the 2 hospitals were enrolled in this study. The median age at the time of surgery was 5 (0.3-19) years. Bilateral RALUR-EV was performed in 57 (48.7%) cases. pAUR rate was 3.4% in all patients and 7.0% in 57 patients with bilateral VUR. All four cases of pAUR occurred after bilateral surgery. Univariate analysis showed age (p = 0.037), weight (p = 0.039), height (p = 0.040), and bilaterality (p = 0.037) as risk factors of pAUR. In a multivariate analysis, BBD was the only significant risk factor of pAUR (p = 0.037). Conclusion: Urinary retention after RALUR-EV occurred less frequently when compared with the previously reported open surgery series. pAUR was seen only in bilateral cases in our series. Preoperative history of BBD, but not male gender or length of surgical time, was the only risk factor of pAUR after RALUR-EV.
Author(s)
김건석김일환송상훈한재현Chester J KohEsther J KimJanathan GerberKunj ShethMinki BaekVinaya Bhatia
Issued Date
2021
Type
Article
Keyword
acute urinary retentionbladder bowel dysfunctionvesicoureteral reflux
DOI
10.1089/end.2020.0158
URI
https://oak.ulsan.ac.kr/handle/2021.oak/7491
https://ulsan-primo.hosted.exlibrisgroup.com/primo-explore/fulldisplay?docid=TN_cdi_proquest_miscellaneous_2439627044&context=PC&vid=ULSAN&lang=ko_KR&search_scope=default_scope&adaptor=primo_central_multiple_fe&tab=default_tab&query=any,contains,Preoperative%20Bladder%20Bowel%20Dysfunction%20Is%20the%20Most%20Important%20Predictive%20Factor%20for%20Postoperative%20Urinary%20Retention%20After%20Robot-Assisted%20Laparoscopic%20Ureteral%20Reimplantation%20via%20An%20Extravesical%20Approach:%20A%20Multi-Center%20Study&offset=0&pcAvailability=true
Publisher
JOURNAL OF ENDOUROLOGY
Location
미국
Language
영어
ISSN
0892-7790
Citation Volume
35
Citation Number
2
Citation Start Page
226
Citation End Page
233
Appears in Collections:
Medicine > Medicine
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