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Papers of the Week

2020 04

Spine Deform



Removal of a urinary catheter before discontinuation of epidural analgesia is associated with an increased risk of postoperative urinary retention and hospital episode costs in patients undergoing surgical correction for adolescent idiopathic scoliosis.


Sultan AA, Berger RJ, Cantrell WA, Samuel LT, Ohilger E, Golubovsky J, Bachour S, Pasadyn S, Karnuta JM, Tamer P, Le P, Kuivila TE, Gurd DP, Goodwin RC
Spine Deform. 2020 04; 8(2):195-201.
PMID: 31981148.


In adolescent idiopathic scoliosis (AIS) patients undergoing posterior spinal instrumented fusion (PSIF), we aimed to answer these questions: (1) is there a difference in postoperative urinary retention (UR) rates among patients who had removal of their Foley catheters before vs. after discontinuation of epidural analgesia (EA)? (2) Can the timing of Foley catheter removal be an independent risk factor for postoperative UR requiring recatheterization? (3) Is there an incurred cost related to treating UR?