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Abstract

A modified validated screening tool, the International Prostate Symptoms Score (IPSS), was created to analyze the prevalence rate of postoperative urinary retention (POUR) in Veterans undergoing a general surgery procedure at Veterans Affairs Portland Health Care Systems. The rate of POUR in two months was 8.5%. A veteran's IPSS score was correlated with higher IPSS categories?moderate and severe (p<0.001), increased age (p<0.001), male gender (p=0.015), use of an alpha-adrenergic antagonist prior to surgery (p=0.023), a diagnosis of benign prostatic hyperplasia (p<0.001), and a diagnosis of a urinary or prostate infection 30 days prior to surgery (p=0.025), postoperative complications (p=0.041), and postoperative urinary complications (p=0.007). The rate of POUR was correlated with higher IPSS scores (p=0.013), higher IPSS categories (p=0.001), postoperative complications (p<0.001), and postoperative urinary complications (p<0.001). The data reinforces findings in the literature regarding the rates and risk factors for developing the condition. Screening veterans for POUR is essential in recognizing those at risk for developing POUR, and understanding a veteran's risk for developing it can help direct future interventions.

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