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Urinary retention in men after total hip arthroplasty
The Journal of Bone and Joint Surgery. American Volume
|December 1, 1986
Summary
Low peak urinary flow rate before hip surgery predicts urinary retention in men. This finding helps identify at-risk patients for better management strategies post-total hip arthroplasty.
Area of Science:
- Urology
- Orthopedic Surgery
- Anesthesiology
Background:
- Postoperative urinary retention (POUR) is a common complication after total hip arthroplasty (THA).
- Predicting POUR is crucial for effective patient management and reducing morbidity.
Purpose of the Study:
- To identify predictive factors for postoperative urinary retention in men undergoing THA.
- To assess the utility of urological history and physical examination in predicting POUR.
Main Methods:
- Prospective study involving sixty-four men scheduled for THA.
- Evaluation of urological history and physical examination findings.
- Measurement of peak urinary flow rate (PUFR) prior to surgery.
Main Results:
- Urological history and physical examination were not reliable predictors of POUR.
- A PUFR less than 17 mL/second was a statistically significant predictor of developing POUR.
- This finding allows for better identification of high-risk individuals.
Conclusions:
- Peak urinary flow rate is a valuable preoperative marker for identifying men at risk of POUR after THA.
- A proposed management system aims to decrease the incidence of this complication.
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