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Urinary retention after total hip replacement. A prospective study.

N Waterhouse, A R Beaumont, K Murray

    The Journal of Bone and Joint Surgery. British Volume
    |January 1, 1987
    PubMed
    Summary
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    Acute urinary retention after hip replacement is predicted by pre-operative factors like difficulty urinating while lying down and signs of bladder obstruction. Early urological assessment for at-risk patients can prevent catheterization and infection risks.

    Area of Science:

    • Urology
    • Orthopedic Surgery
    • Anesthesiology

    Background:

    • Acute urinary retention (AUR) is a potential complication following total hip replacement (THR).
    • Understanding pre-operative predictors of AUR is crucial for patient management and reducing complications.
    • Catheterization, often used to manage AUR, carries risks such as deep vein thrombosis and surgical site infections.

    Purpose of the Study:

    • To prospectively identify pre-operative factors predicting acute urinary retention after total hip replacement in male patients.
    • To inform pre-arthroplasty urological assessment and intervention strategies.

    Main Methods:

    • Prospective study of 103 consecutive male patients undergoing total hip replacement.
    • Pre-operative assessment included evaluating ability to void in bed, urinary peak-flow rates, and history of bladder outflow issues.

    Related Experiment Videos

  • Post-operative monitoring for acute urinary retention.
  • Main Results:

    • Eleven patients (10.7%) developed acute urinary retention post-operatively.
    • Three pre-operative factors demonstrated predictive value: inability to pass urine into a bottle while lying down, urinary peak-flow rates indicating obstruction, and a history of previous bladder outflow problems.

    Conclusions:

    • Patients with pre-operative indicators of potential urinary retention should undergo urological assessment before hip arthroplasty.
    • Proactive urological management can mitigate the need for post-operative catheterization and associated infection risks.