December 27, 2017
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Study reveals factors linked with postoperative urinary retention following THA

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Results from a recently published study demonstrated that patients who underwent total hip arthroplasty with a history of urinary retention and those who received high amounts of intraoperative fluid volume had a high risk for postoperative urinary retention.

Researchers identified 180 patients from a prospectively collected patient database, who underwent primary THA without preoperative catheterization under spinal anesthesia. They used patient symptoms and a bladder ultrasound to monitor urinary retention.

Results showed 66 patients had experienced postoperative urinary retention and needed straight catheterization. Investigators noted 14 patients required indwelling catheterization. One patient developed a urinary tract infection because they did not receive catheterization compared with none of the patients who did receive catheterization. Postoperative urinary retention correlated significantly with intraoperative fluid volume and a history of urinary retention.

Researchers observed an association between specificity for postoperative urinary retention and intraoperative fluid volumes of 2,025 mL (60%), 2,325 mL (82.7%), 2,875 mL (94.9%) and 3,800 mL (98%). Catheterization and sex, BMI, American Society of Anesthesiologists class, history of polyuria, history of incontinence, postoperative oral narcotics use and surgical duration were not significantly associated. – by Monica Jaramillo

 

Disclosures: Lawrie reports no relevant financial disclosures. Please see the full study for a list of all other authors’ relevant financial disclosures.