Abstract
Urinary retention, overflow incontinence, and subsequent detrusor atony were observed following surgery in which a morphine with bupivacaine epidural injection was used for perioperative analgesia. The premise that the urinary retention may have been due to the effects of the morphine component of the epidural is discussed, along with other possible causes.
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- Anderson J. B., Grant J. B. Postoperative retention of urine: a prospective urodynamic study. BMJ. 1991 Apr 13;302(6781):894–896. doi: 10.1136/bmj.302.6781.894. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Bolam J. M., Robinson C. J., Hofstra T. C., Wurster R. D. Changes in micturition volume thresholds in conscious dogs following spinal opiate administration. J Auton Nerv Syst. 1986 Aug;16(4):261–277. doi: 10.1016/0165-1838(86)90033-0. [DOI] [PubMed] [Google Scholar]
- Dray A., Metsch R. Spinal opioid receptors and inhibition of urinary bladder motility in vivo. Neurosci Lett. 1984 Jun 1;47(1):81–84. doi: 10.1016/0304-3940(84)90390-2. [DOI] [PubMed] [Google Scholar]
- Evron S., Samueloff A., Simon A., Drenger B., Magora F. Urinary function during epidural analgesia with methadone and morphine in post-cesarean section patients. Pain. 1985 Oct;23(2):135–144. doi: 10.1016/0304-3959(85)90055-7. [DOI] [PubMed] [Google Scholar]
- McMurphy R. M. Postoperative epidural analgesia. Vet Clin North Am Small Anim Pract. 1993 Jul;23(4):703–716. doi: 10.1016/s0195-5616(93)50077-3. [DOI] [PubMed] [Google Scholar]
- Petersen M. S., Collins D. N., Selakovich W. G., Finkbeiner A. E. Postoperative urinary retention associated with total hip and total knee arthroplasties. Clin Orthop Relat Res. 1991 Aug;(269):102–108. [PubMed] [Google Scholar]
- Philippe A. C., Durant M. D. Intraspinal analgesia and urinary bladder dysfunction. Acta Anaesthesiol Belg. 1988;39(3):163–167. [PubMed] [Google Scholar]
- Rawal N., Möllefors K., Axelsson K., Lingårdh G., Widman B. An experimental study of urodynamic effects of epidural morphine and of naloxone reversal. Anesth Analg. 1983 Jul;62(7):641–647. [PubMed] [Google Scholar]
- Tammela T., Kontturi M., Lukkarinen O. Postoperative urinary retention. II. Micturition problems after the first catheterization. Scand J Urol Nephrol. 1986;20(4):257–260. doi: 10.3109/00365598609024508. [DOI] [PubMed] [Google Scholar]
- Tammela T. Postoperative urinary retention--why the patient cannot void. Scand J Urol Nephrol Suppl. 1995;175:75–77. [PubMed] [Google Scholar]