Ambulatory surgical hemorrhoidectomy-A solution to postoperative urinary retention?

Stuart D. Hoff, H. Randolph Bailey, Donald R. Butts, Ernest Max, Kenneth W. Smith, Luis F. Zamora, Gary B. Skakun

Research output: Contribution to journalArticlepeer-review

77 Scopus citations


PURPOSE: The most frequent complication of surgical hemorrhoidectomy is urinary retention. This study evaluates the incidence of urinary retention in a series of patients undergoing surgical hemorrhoidectomy in an ambulatory setting. METHODS: The records of all patients undergoing anorectal surgical operative procedures during the calendar year 1990 were reviewed, with particular emphasis on urinary retention and other postoperative complications. RESULTS: Of 201 patients undergoing full surgical hemorrhoidectomy by Colon and Rectal Clinic, 91 percent had operations performed on an ambulatory basis (discharge less than four hours following surgery). Of these 190 patients, only 1 (0.53 percent) required urinary catheterization during the postoperative period. CONCLUSIONS: The ambulatory setting, when combined with careful patient education and perioperative fluid restriction, allows surgical hemorrhoidectomy to be performed with a very low incidence of urinary retention to the benefit of both patient and surgeon.

Original languageEnglish (US)
Pages (from-to)1242-1244
Number of pages3
JournalDiseases of the Colon & Rectum
Issue number12
StatePublished - Dec 1 1994


  • Ambulatory surgery
  • Hemorrhoidectomy
  • Urinary retention

ASJC Scopus subject areas

  • Gastroenterology


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