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. (31st May 2022)

• Record Type: Journal Article
• Authors: Venara, Aurélien; Hamel, Jean François; Régimbeau, Jean‐Marc; Gillet, Julien; Joris, Jean; Cotte, Eddy; Slim, Karem
• Other Names: Nora Abbes Orabi investigator.; Agut Elodie investigator.; Alfonsi Pascal investigator.; Alili Asma investigator.; Amraoui Jibba investigator.; Andre Adeline investigator.; Arimon Jean‐Marc investigator.; Arnalsteen Laurent investigator.; Asztalos Robert investigator.; Audouy Cyril investigator.; Aumont Ophélie investigator.; Auvray Sylvain investigator.; Baietto Hubert investigator.; Balbo Gregorio investigator.; Barreau Aguilera Maryse investigator.; Beaupel Nathan investigator.; Beaupel Nathan investigator.; Ben Lazreg Zeineb investigator.; Beguinot‐Holtzscherer Sophie investigator.; Beller Jean‐Paul investigator.; Bellouard Arnauld investigator.; Ben Henda Imed investigator.; Bentamene Mohamed investigator.; Bernard Pierre investigator.; Berthon Nicolas investigator.; Biblocque Amélie investigator.; Bievre Thomas investigator.; Bilosi Marco investigator.; Blanc Benjamin investigator.; Blaye‐Felice Sébastien investigator.; Blatt Adrien investigator.; Blehaut Damien investigator.; Bock Anne investigator.; Bongiovanni Jean‐Pierre investigator.; Bonnet Marc investigator.; Bouarroudj Noredinne investigator.; Boissier David investigator.; Boret Henry investigator.; Borg Ruddy investigator.; Bouchair Zoheir investigator.; Bouchard François investigator.; Boumadani Mohamed investigator.; Bounicaud David investigator.; Bourdeix Olivier investigator.; Bourseau J. C. investigator.; Bozio Guillaume investigator.; Brachet Dorothée investigator.; Brek Amine investigator.; Briez Nicolas investigator.; Buisset‐Subiran Carole investigator.; Calvet Brigitte investigator.; Cartaux‐Taieb Anna investigator.; Castiglioni Marie investigator.; Catinois Maryline investigator.; Chalret du Rieu Mael investigator.; Chalumeau Claire investigator.; Chambrier Gerald investigator.; Chamlou Reza investigator.; Chapel Nathalie investigator.; Chenet Pierre investigator.; Chirac Pierre investigator.; Chokkairi Seddik investigator.; Chopin Xavier investigator.; Christou Niki investigator.; Chuffart Etienne investigator.; Corfiotti François investigator.; Craus Carmen investigator.; Cuellar Emmanuel investigator.; Dardenne Gilles investigator.; de Angelis Nicola investigator.; de Ioro Ugo investigator.; Dechanet Fabien investigator.; Dellis Rachel investigator.; Demasles Laurence investigator.; Denet Christine investigator.; Deroo Benjamin investigator.; Desfourneaux‐Denis Véronique investigator.; Dileon Sylvain investigator.; Douard Richard investigator.; Dorado Carlos investigator.; Dorscheid Eva investigator.; Dumont Frédéric investigator.; Durame François investigator.; Duchalais Emilie investigator.; Dupre Aurélien investigator.; Dufraisse Sophie investigator.; Elghali Mohamed Amine investigator.; Hutin Emmeric investigator.; Emna Aloui investigator.; Essome Eric investigator.; Fabre Nathalie investigator.; Faivre Virginie investigator.; Faucheron Jean‐Luc investigator.; Favoulet Patrick investigator.; Fernou Philippe investigator.; Firtion Olivier investigator.; Flamein Renaud investigator.; Florea Sabina investigator.; de la Fontaine Christophe investigator.; Forestier Damien investigator.; Fourn Erwann investigator.; Frentiu Dacian Vasile investigator.; Frisoni Romain investigator.; Frisoni Alain investigator.; Gautier Thomas investigator.; Genty Florent investigator.; Georgeanu Sebastian investigator.; Germain Adeline investigator.; Gibert Stéphanie investigator.; Gilbert Bruno investigator.; Gignoux Benoit investigator.; Goasguen Nicolas investigator.; Goubault Pierre investigator.; Gres Philippe investigator.; Guedj Jérémie investigator.; Guignard Bruno investigator.; Gugenheim Jean investigator.; Guaquiere Caroline investigator.; Guiot Jean Luc investigator.; Guinier David investigator.; Hail Kamel investigator.; Hatwel Caroline investigator.; Iatan Elean investigator.; Janecki Thérèse investigator.; Jany Thomas investigator.; Jaspart Jerome investigator.; Journe Frédéric investigator.; Jouffret Lionel investigator.; Kassoul Aicha investigator.; Kattou Fehmi investigator.; Keller Philipe investigator.; Knepfler Thomas investigator.; Khouri Tarik investigator.; Kothonidis Konstantinos investigator.; Landreau Pierre investigator.; Langlois Guillaume investigator.; Le Bartz Gerald investigator.; Lebas Sébastien investigator.; Leonard Daniel investigator.; Leonard David investigator.; Leporrier Julien investigator.; Lescure Guy investigator.; Lewandowski Romain investigator.; 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Plumereau Fleur investigator.; Poincenot James investigator.; Poisblanc Marie investigator.; Poupard Benoit investigator.; Proske Jan Martin investigator.; Puche Pierre investigator.; Raspado Olivier investigator.; Riboud Romain investigator.; Rakotoarisoa Barivola investigator.; Raynaud Kevin investigator.; Razafindratsira Thierry investigator.; Renaud Myriam investigator.; Rio Didier investigator.; Rio Didier investigator.; Ripoche Jeremie investigator.; Roussel Benjamin investigator.; Saint Denis Marc investigator.; Salaun Pascale investigator.; Sage Pierre Yves investigator.; Scherrer Marie‐Lorraine investigator.; Sirisier Franck investigator.; Smeets Boudewijn investigator.; Smejkal Milan investigator.; Steinmetz Jean‐Philppe investigator.; Tavernier Marion investigator.; Thievenaz Remy investigator.; Tirca Mihaela investigator.; Toque Laurence investigator.; Triki Elhocine investigator.; Tzanis Dimitri investigator.; Vacher Bernard investigator.; Vanwymeersch Serge investigator.; Vauclair Estelle investigator.; Verhaeghe Romain investigator.; Vetrila Victoria investigator.; Vieuille Christine investigator.; Vermeulen François investigator.; Vignal Jean‐Charles investigator.; Voilin Christian investigator.; de Wailli Pierre investigator.; Wolthuis Albert investigator.; Zaepfel Sophie investigator.;
• Is Part Of: Colorectal disease. Volume 24:Number 10(2022)
• Page Start: 1164
• Page End: 1171
• Publication Date: 2022-05-31
• Subjects: acute urinary retention -- colorectal surgery -- enhanced recovery programme -- urinary drainage -- urinary tract infection; Colon (Anatomy) -- Diseases -- Periodicals; Rectum -- Diseases -- Periodicals; 616.34
• DOI: 10.1111/codi.16184
• Languages: English
• ISSNs: 1462-8910

Abstract

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.