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Postoperativ urinretensjon

Sist revidert:
Sist revidert av:
Definisjon:
Manglende evne til å tømme urinblæren etter et kirurgisk inngrep. Anestesi og (opiat-) analgesi er trolig viktigste årsak
Forekomst:
En rekke faktorer påvirker risikoen for retensjon. Insidensen er i området 10-20%, og øker i takt med kompleksiteten av inngrepet
Symptomer:
Overdistensjon av urinblæren kan gi pasienten ubehag og smerter, men dette maskeres gjerne av postoperativ smertelindring. Kardiovaskulære reaksjoner kan oppstå som respons på retensjon
Funn:
Palpasjon/perkusjon av blæren er ikke pålitelig nok i seg selv
Diagnostikk:
Ultralyd gir sikker og brukervennlig diagnostikk
Behandling:
Overvåkning med tidlig diagnostikk/avlastning (kateterisering) reduserer risikoen for vedvarende komplikasjoner i form av blæretømmingsforstyrrelser. Prognosen er god ved tidlig behandling
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  16. Dolin SJ, Cashman JN. Tolerability of acute postoperative pain management: nausea, vomiting, sedation, pruritus, and urinary retention. Evidence from published data. Br J Anaesth 2005; 95: 584-91. PubMed  
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  21. Madeiro AP, Rufino AC, Sartori MG, et al. The effects of bethanechol and cisapride on urodynamic parameters in patients undergoing radical hysterectomy for cervical cancer. A randomized, double-blind, placebo-controlled study. Int Urogynecol J Pelvic Floor Dysfunct 2006; 17: 248-52. PubMed  
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  • Terje Johannessen, professor i allmennmedisin, Trondheim

Tidligere fagmedarbeidere

  • Steinar J. Karlsen, tidligere klinikksjef og professor dr. med., Oslo Urologiske Universitetsklinikk, Aker universitetssykehus helseforetak og Universitetet i Oslo
  • Leiv Arne Rosseland, assistentlege, Anestesiavdelingen, Rikshospitalet, Oslo