Korean J Urol.  2007 Aug;48(8):838-842. 10.4111/kju.2007.48.8.838.

A Study of Frequency and Factors of Voiding Dysfunction Occurred after Epidural Anesthesia Using Bupivacaine

• Kim HM
• Yang WJ
• Chung JY
• Sung KH
• Sung YB
• Lee SS

• KMID: 2061278
• DOI: http://doi.org/10.4111/kju.2007.48.8.838

Abstract

PURPOSE
Epidural anesthesia(EPA) has been performed in various operations; however, it frequently induces postoperative voiding dysfunction. The frequency, duration and risk factors of voiding dysfunction occurring after EPA using long-acting anesthetics bupivacaine were evaluated.
MATERIALS AND METHODS
100 patients, who underwent orthopedic surgery (under knee, operation time RESULTS
Of the 100 patients, 32(group 1, 32%) were able to urinate spontaneously and had less than 100ml of PVR during the immediate postoperative period. However, the other 68(group 2, 68%) needed catheterization at least once. Between 2 groups, male, age over 50 years and an operation time over 2 hours were risk factors of postoperative catheterization from a univariate analysis; however, none of the patients required further catheterization until the 2nd postoperative day.
CONCLUSIONS
The voiding dysfunction occurring after EPA using bupivacaine was concluded to be temporary and a self resolving event.

Keyword

Epidural anesthesia; Urinary dysfunction; Residual volume

MeSH Terms

Anesthesia, Epidural*
Anesthetics
Bupivacaine*
Catheterization
Catheters
Humans
Knee
Male
Orthopedics
Postoperative Period
Prospective Studies
Residual Volume
Risk Factors
Anesthetics
Bupivacaine

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