Korean J Anesthesiol.  2008 Jul;55(1):15-19. 10.4097/kjae.2008.55.1.15.

Effect of intraoperative remifentanil infusion on postoperative urinary retention

• Kim MG
• Kim SI
• Doo SW
• Ok SY
• Kim SC
• Yang WJ

• KMID: 1782514
• DOI: http://doi.org/10.4097/kjae.2008.55.1.15

Abstract

BACKGROUND: Urinary retention is a common post-operative complication that has been associated with opioid therapy. In this study, we investigated whether an intraoperative remifentanil infusion increased postoperative urinary retention in patients undergoing general anesthesia.
METHODS
Sixty-two healthy patients having elective minor surgery under general anesthesia were enrolled in this prospective, randomized, double-blind study. Anesthesia was maintained with either sevoflurane (S group, n = 31) alone or with sevoflurane combined with a remifentanil infusion (0.1-0.2microgram/kg/min) (RS group, n = 31). Bladder urine volume and voiding difficulty were evaluated at 2 and 6 hours after the operation.
RESULTS
The incidence of urinary retention was 13% in the S group and 6% in the RS group at 2 hours after operation, which was not a significant difference. The total incidence of urinary retention was 13% in both groups at 6 hours after operation.
CONCLUSIONS
Intraoperative remifentanil infusion did not increase the postoperative urinary retention.

Keyword

postoperative urinary retention; remifentanil

MeSH Terms

Anesthesia
Anesthesia, General
Double-Blind Method
Humans
Incidence
Methyl Ethers
Piperidines
Prospective Studies
Surgical Procedures, Minor
Urinary Bladder
Urinary Retention
Methyl Ethers
Piperidines