Pediatric anesthesia & critical care
Prospective Observational Study to Evaluate Post‐Operative Urinary Retention With Pediatric Epidural Analgesia
Authors' conclusion
This study found a rising trend in POUR incidence with age, signifying that older children are more likely to have POUR.
Study context
- Population
- Children receiving intra- and postoperative epidural analgesia without preoperative catheterization, pediatric surgery, Christian Medical College, Vellore
- Participants
- 157 children
- Outcome
- Postoperative urinary retention (identified with ultrasound)
Methodological detailssingle-centre, Urinary retention identified with ultrasound and catheterized
- Single-centre
- Urinary retention identified with ultrasound and catheterized
Main finding
As reported in the abstract
POUR incidence
Overall incidence of POUR (16 children)
10.2%
Observational data: associations, not effects.
Further findings
| Outcome | Values | RR (95% CI) | P value | |
|---|---|---|---|---|
| POUR by age<2 years vs ≥2 years · likelihood of voiding | ≥2 years 12.8% (95% CI 8.0%–19.8%) | 1.15 (1.07–1.23) | ||
| POUR by sexGirls vs Boys | Girls 13.2% · Boys 7.9% | 1.68 (0.66–4.29) | P = 0.270 | |
| POUR by opioid additiveWithout opioid additive vs With opioid additive | Without opioid additive 9.6% · With opioid additive 11.1% | 0.862 (0.338–2.19) | ||
| POUR by induction bolus drugBupivacaine vs Ropivacaine | Bupivacaine 10.5% · 13 of 124 · Ropivacaine 9.1% · 3 of 33 | 1.15 (0.349–3.81) | ||
| 0.20.5125Relative risk (log scale) |
| Outcome | Values |
|---|---|
| POUR by surgical duration | < 120 min 6.1% · 120 to 180 min 10.8% · > 180 min 16.0% |
POUR by age
- No POUR in children <2 years (95% CI: 0.0%-10.9%)
Level of epidural placement
- Not a significant predictor of POUR
Original publication
Prospective Observational Study to Evaluate Post‐Operative Urinary Retention With Pediatric Epidural Analgesia. Paediatr Anaesth. Published 19 May 2026. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →