Postoperative urinary retention after oblique lumbar interbody fusion under the systematic management protocol

Oblique lumbar interbody fusion (OLIF) is a minimally invasive lateral lumbar fusion technique and patients are discharged 1–2 days after surgery. Because OLIF utilizes a retroperitoneal approach close to the superior hypogastric plexus, postoperative urinary retention (POUR) may not be an uncommon...

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Bibliographic Details
Published in:Scientific reports 2024-12, Vol.14 (1), p.29887-8
Main Authors: Lim, Joonsoo, Lim, Jangyeob, Khan, Asfandyar, Lee, Chang-Hyun, Kim, Jun-Hoe, Choi, Sejin, Kim, Tae-Shin, Choi, Yunhee, Chung, Chun Kee, Yoon, Sangwook T., Kim, Kyoung-Tae, Kim, Chi Heon
Format: Article
Language:English
Subjects:
692/1807
692/4025
692/499
Aged
Algorithm
Arthrodesis
Enhanced recovery after surgery
Female
Humanities and Social Sciences
Humans
Incidence
Lumbar vertebra
Lumbar Vertebrae - surgery
Male
Medical instruments
Middle Aged
multidisciplinary
Patients
Postoperative Complications - epidemiology
Postoperative Complications - etiology
Protocol
Retention
Retrospective Studies
Risk Factors
Science
Science (multidisciplinary)
Spinal Fusion - adverse effects
Spinal Fusion - methods
Spine
Urinary retention
Urinary Retention - epidemiology
Urinary Retention - etiology
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Summary:Oblique lumbar interbody fusion (OLIF) is a minimally invasive lateral lumbar fusion technique and patients are discharged 1–2 days after surgery. Because OLIF utilizes a retroperitoneal approach close to the superior hypogastric plexus, postoperative urinary retention (POUR) may not be an uncommon problem. The purpose of this study was to present the incidence and outcomes of POUR with a systematic care protocol. The records of 102 consecutive patients (M:F = 34:68; mean age, 68.0 ± 8.4 years) were retrospectively reviewed. After OLIF, the indwelling urinary catheter was immediately removed, and every patient was encouraged to void within 6 h. The POUR care protocol, following a clinical pathway, was based on residual urine (RU), which was monitored with an ultrasound bladder scan after each voiding or every 6 h for 48 h. The incidence rate of POUR was 44% (45/102) at 24 h, 17% (17/102) at 48 h, and 2% (2/102) at 1 month. Preoperative urological symptoms (odds ratio [OR] 3.2) and violation of the protocol (OR 28.3) were risk factors at 24 h. At 48 h, violation of the protocol was the only risk factor (OR 9.6). Identifying risk factors and a preemptive care protocol may reduce permanent POUR.
ISSN:2045-2322
2045-2322
DOI:10.1038/s41598-024-81697-0