ArticleAsian spine journal2018
Factors Influencing Postoperative Urinary Retention Following Elective Posterior Lumbar Spine Surgery: A Prospective Study.
Article in Asian spine journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06578221 (The Effect of Kegel Pelvic Floor Muscle Exercises on Urinary Retention, Pain, and Comfort Levels in Patients After Lumbar Disc Herniation Surgery), which is not on this map. Cited by 20 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
The Effect of Kegel Pelvic Floor Muscle Exercises on Urinary Retention, Pain, and Comfort Levels in Patients After Lumbar Disc Herniation Surgery: A Randomized Controlled Clinical Trial
Who cites it
20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 45 citations in OpenAlex.
- Prophylactic alpha blockers fail to prevent postoperative urinary retention following orthopaedic procedures: evidence from a meta-analysis and trial sequential analysis of comparative studies.Frontiers in pharmacology · 2023Pooled it
- Pathway for enhanced recovery after spinal surgery-a systematic review of evidence for use of individual components.BMC anesthesiology · 2021Pooled it
- Risk factors for postoperative urinary retention in benign anorectal diseases: a case-control study.Annals of coloproctology · 2026Article
- Preoperative Hypoalbuminemia, Functional Dependence, and Intraoperative Infusion Volume Associated with Postoperative Urinary Retention After Elective Spinal Surgery.International journal of general medicine · 2026Article
- Sex-Specific Differences and Risk Factors for Postoperative Urinary Retention after Spine Surgery with TIVA.Journal of Korean Neurosurgical Society · 2026Article
- Article
- Postoperative urinary retention after oblique lumbar interbody fusion under the systematic management protocol.Scientific reports · 2024Article
- Article
- Development and Validation of Machine Learning-Based Predictive Model for Prolonged Hospital Stay after Decompression Surgery for Lumbar Spinal Canal Stenosis.Spine surgery and related research · 2024Article
- Factors associated with postoperative urinary retention in patients undergoing penile prosthesis implantation.International journal of impotence research · 2024Article
- Leveraging machine learning to develop a postoperative predictive model for postoperative urinary retention following lumbar spine surgery.Frontiers in neurology · 2024Article
- Construction and validation of a predictive model for postoperative urinary retention after lumbar interbody fusion surgery.BMC musculoskeletal disorders · 2023Article
- Risk Factors for Postoperative Urinary Retention Following Lumbar Spine Surgery: A Review of Current Literature and Meta-Analysis.Global spine journal · 2023Review
- Retrospective analysis of drug resistance characteristics and infection related risk factors of multidrug-resistant organisms (MDROs) isolated from the orthopedics department of a tertiary hospital.Scientific reports · 2023Article
- Preoperative prediction of postoperative urinary retention in lumbar surgery: a comparison of regression to multilayer neural network.Journal of neurosurgery. Spine · 2022Article
- Postoperative Urinary Retention Following Thoracolumbosacral Spinal Fusion: Prevalence, Risk Factors, and Outcomes.Cureus · 2021Article
- The Role of Intraoperative Urinary Catheters on Postoperative Urinary Retention after Total Joint Arthroplasty: A Multi-Hospital Retrospective Study on 9,580 Patients.The archives of bone and joint surgery · 2021Article
- Bladder management in patients undergoing spine surgery: An assessment of care delivery.North American Spine Society journal · 2021Article
- Cauda Equina Syndrome: A Review of 15 Patients Who Underwent Percutaneous Transforaminal Endoscopic Lumbar Discectomy (PTELD) Under Local Anaesthesia.Malaysian orthopaedic journal · 2020Article
- Intraoperative Fluid Management in Patients Undergoing Spine Surgery: A Narrative Review.Frontiers in surgery · 2020Review
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
STUDY
designProspective observational study. PURPOSE: To determine the incidence of postoperative urinary retention (POUR) in patients undergoing elective posterior lumbar spine surgery and identify the risk factors associated with the development of POUR. OVERVIEW OF LITERATURE: POUR following surgery can lead to detrusor dysfunction, urinary tract infections, prolonged hospital stay, and a higher treatment cost; however, the risk factors for POUR in spine surgery remain unclear.
methodsA prospective, consecutive analysis was conducted on patients undergoing elective posterior lumbar surgery in the form of lumbar discectomy, lumbar decompression, and single-level lumbar fusions during a 6-month period. Patients with spine trauma, preoperative neurological deficit, previous urinary disturbance/symptoms, multiple-level fusion, and preoperative catheterization were excluded from the study. Potential patient- and surgery-dependent risk factors for the development of POUR were assessed. Univariate analysis and a multiple logistical regression analysis were performed.
resultsA total of 687 patients underwent posterior lumbar spine surgery during the study period; among these, 370 patients were included in the final analysis. Sixty-one patients developed POUR, with an incidence of 16.48%. Significant risk factors for POUR were older age, higher body mass index (BMI), surgery duration, intraoperative fluid administration, lumbar fusion versus discectomy/ decompression, and higher postoperative pain scores (p<0.05 for all). Sex, diabetes, and the type of inhalational agent used during anesthesia were not significantly associated with POUR. Multiple logistical regression analysis, including age, BMI, surgery duration, intraoperative fluid administration, fusion surgery, and postoperative pain scores demonstrated a predictive value of 92% for the study population and 97% for the POUR group.
conclusionsPOUR was associated with older age, higher BMI, longer surgery duration, a larger volume of intraoperative fluid administration, and higher postoperative pain scores. The contribution of postoperative pain scores in the multiple regression analysis was a significant predictor of POUR.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.