Comparative Study of Urinary Retention in Lower Limb Surgeries between General and Spinal Anesthesia
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 1
Abstract
Introduction: Urinary retention is very common after general anesthesia (GA) or spinal anesthesia (SA) especially following lower abdominal and lower limb surgeries. Aim: Aim of the study is to study the incidence and duration of urinary retention following general and SA and to compare the effects of these two types of anesthesia on it. Materials and Methods: A total of 84 patients with physical status I and II were divided into two groups; 42 each. All the patients undergoing orthopedic surgery (arthroscopy, tibia shaft fracture fixation, and screws fixation in ankle fractures) of the lower limb lasting above 60 min were divided into groups. Group A was administered GA and Group B was given SA. Results: The incidence and duration of urinary retention, residual volume, spontaneous micturition, and mechanisms presumed were different in both groups and were statistically significant. Conclusion: Urinary retention was found to be more common after spinal than GA in the study. Abdominal ultrasound examination was found to be a reliable, noninvasive, inexpensive, and simple method to measure bladder volume postoperatively.
Authors and Affiliations
V K Valsalan, P Sathis Chandran
Keywords
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