Anticipating Urinary Retention Following Total Hip and Total Knee Replacements
https://doi.org/10.5704/MOJ.2011.017
- Author:
Hamed Y
1
;
Ramesh A
1
;
Taylor R
2
;
Michaud R
1
Author Information
1. Department of Trauma and Orthopaedics, Furness General Hospital, Barrow-in-Furness, United Kingdom
2. Department of Medicine, Royal Bolton Hospital, Bolton, United Kingdom
- Publication Type:Journal Article
- Keywords:
lower limb, arthroplasty, urinary retention, catheterisation
- From:Malaysian Orthopaedic Journal
2020;14(No.3):110-113
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: Urinary retention is a widely recognised postoperative complication. Although anecdotally lower limb
arthroplasty is linked with high rates of urinary retention,
there are no current accepted standards for determining
which patients are at higher risk and should therefore be
offered intra operative catheterisation.
Materials and Methods: One hundred patients, 55 females
and 45 males, who underwent uncomplicated total hip or
total knee replacements at Furness General Hospital were
recruited between January and April 2017.
Results: Post-operative urinary retention was seen
frequently, with 38 patients (38%) requiring post-operative
catheterisation. Twenty-one males (46%) developed postoperative retention compared to 17 (30%) of females,
representing a statistically significant increase in risk seen in
male patients. (p 0.009). Post-operative urinary retention
requiring catheterisation was associated with increasing age,
with those over 75 years having a significantly higher risk
than those less than 75 years irrespective of gender (p 0.04).
There was no significant difference in urinary retention rates
between patients who had general (n=21) or spinal
anaesthetic (n=79) with 33% of GA patients and 39% of
spinal anaesthetic patients requiring catheterisation (p 0.17).
Conclusion: There are increased rates of urinary retention
seen in lower limb arthroplasty patients than those described
in the general surgical population, with male patients and all
those over 75 years of age having a significantly higher risk.
Clinically, it may therefore be sensible to consider offering
routine intra operative catheterisation to this cohort of
patients.
- Full text:16.2020my1118.pdf
