BACKGROUND: Acute urinary retention following major joint arthroplasty is common. It does necessitate instrumentation, puts patients at risk of complications, and causes discomfort and embarrassment. The aim of the study was to find a test to help the surgeon to predict the possibility of acute retention of urine. METHODS: Male patients admitted for elective major joint arthroplasty filled in an IPSS (International Prostate Symptoms Score) during the pre-operative visit. They were observed post-operatively to document if they passed urine spontaneously or went into acute retention. RESULTS: There was a strong correlation between the IPSS and the likelihood of developing acute retention. Patients with moderate to high IPSS had a 55% to 100% chance of developing acute retention of urine, respectively. CONCLUSION: The IPSS proved to be a simple and reliable test to help the surgeon in predicting the possibility of developing acute retention. It might be a good addition to the pre-admission clinic investigations in patients undergoing major surgery. It could consolidate the decision to pre-emptive catheterisation in patients at risk.
BACKGROUND: Acute urinary retention following major joint arthroplasty is common. It does necessitate instrumentation, puts patients at risk of complications, and causes discomfort and embarrassment. The aim of the study was to find a test to help the surgeon to predict the possibility of acute retention of urine. METHODS: Male patients admitted for elective major joint arthroplasty filled in an IPSS (International Prostate Symptoms Score) during the pre-operative visit. They were observed post-operatively to document if they passed urine spontaneously or went into acute retention. RESULTS: There was a strong correlation between the IPSS and the likelihood of developing acute retention. Patients with moderate to high IPSS had a 55% to 100% chance of developing acute retention of urine, respectively. CONCLUSION: The IPSS proved to be a simple and reliable test to help the surgeon in predicting the possibility of developing acute retention. It might be a good addition to the pre-admission clinic investigations in patients undergoing major surgery. It could consolidate the decision to pre-emptive catheterisation in patients at risk.
Authors: Donald E G Griesdale; Jeremy Neufeld; Dale Dhillon; Jennifer Joo; Supna Sandhu; Frank Swinton; Peter T Choi Journal: Can J Anaesth Date: 2011-10-12 Impact factor: 5.063
Authors: Haidar M Abdul-Muhsin; Nicholas Jakob; Stephen Cha; Nan Zhang; Adam Schwartz; Anojan Navaratnam; Aqsa Khan; Mitchell Humphreys Journal: J Am Acad Orthop Surg Glob Res Rev Date: 2020-05
Authors: Lars S Bjerregaard; Stina Bogø; Sofie Raaschou; Charlotte Troldborg; Ulla Hornum; Alicia M Poulsen; Per Bagi; Henrik Kehlet Journal: Acta Orthop Date: 2014-10-10 Impact factor: 3.717