Risk Factors for POUR

- Spinal Blocks
- Urologic Procedures
- Inguinal Hernia Repair (lap and open)
- Rectal Procedures (Hemorrhoidectomy)
- Gynecologic Procedures (lap hysterectomies)
- Emergent Surgery
- Medications: Opioids, Anticholinergics, Sympathomimetics, Beta Blockers
- Length of Procedure > 60 min
- Intraoperative fluid > 1000 ml
Is patient at risk
for POUR?
Outpatient with
no risk factors
for POUR
Discharge
Outpatient with
risk factors
for POUR
Unable
to void
Assess volume by
bladder scan
Bladder volume
> 400 ml
Call MD for
catheterization
order
Bladder volume
< 400 ml
Discharge
Advise patient to
seek medical
assistance if
unable to void
within 8 hours
Void
< 150 ml > 150 ml