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Related Experiment Video

Updated: May 19, 2026

Detrusor Underactivity Model in Rats by Conus Medullaris Transection

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Published on: August 28, 2020

Predicting postoperative urinary retention after lower limb arthroplasty.

W K M Kieffer¹, T P C Kane

¹Portsmouth Hospitals NHS Trust, UK. willkieffer@gmail.com

Annals of the Royal College of Surgeons of England

|September 5, 2012

Summary

The International Prostate Symptom Score (IPSS) can predict male patients at high risk for postoperative urinary retention (POUR) after lower limb joint replacement. Prophylactic catheterization based on IPSS scores can prevent POUR complications.

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Last Updated: May 19, 2026

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Published on: June 16, 2022

Area of Science:

Urology
Orthopedic Surgery
Anesthesiology

Background:

Postoperative urinary retention (POUR) is a common complication following lower limb total joint replacement.
Current methods for identifying at-risk patients are insufficient, leading to potential complications.
Prophylactic measures, such as pre-operative catheterization, can mitigate POUR risks.

Purpose of the Study:

To evaluate the reliability of the International Prostate Symptom Score (IPSS) in predicting POUR in male patients undergoing lower limb total joint arthroplasty.
To determine if a higher IPSS score correlates with an increased likelihood of developing POUR.
To establish IPSS as a practical tool for identifying patients who would benefit from prophylactic catheterization.

Main Methods:

A cohort of male patients undergoing lower limb total joint arthroplasty under spinal anesthesia was selected.
The International Prostate Symptom Score (IPSS) was calculated for each patient prior to surgery.
The incidence of postoperative urinary retention (POUR) was recorded and analyzed in relation to IPSS scores.

Main Results:

A statistically significant positive correlation was found between higher IPSS scores and the likelihood of developing POUR (p = 0.0002).
Patients with elevated IPSS scores were demonstrably at greater risk for experiencing urinary retention post-surgery.
The IPSS proved to be an effective predictive tool for identifying at-risk individuals.

Conclusions:

The International Prostate Symptom Score (IPSS) is a simple and effective method for predicting male patients at risk of postoperative urinary retention (POUR).
Utilizing IPSS allows for targeted prophylactic catheterization in high-risk patients, thereby preventing potential complications associated with POUR.
This scoring system facilitates better patient management and resource allocation in orthopedic and urological care settings.