Michael David1, Elizabeth Arthur2, Raveena Dhuck2, Ellie Hemmings2, David Dunlop3. 1. West Midlands Deanery, Trauma & Orthopaedic Training Programme, Birmingham B16 9RG, United Kingdom. 2. West Midlands Deanery, GP Training Programme, South Birmingham B16 9RG, United Kingdom. 3. The Royal Orthopaedic Hospital, Arthroplasty Hip & Knee, Birmingham B31 2AP, United Kingdom.
Abstract
BACKGROUND: Postoperative urinary retention (POUR) occurs frequently following hip replacement. METHODS: 94 consecutive primary hip arthroplasty patients were assessed prospectively for POUR. 80 patients followed our anaesthesia protocol with combined general and spinal anaesthesia using bupivacaine and intrathecal diamorphine. RESULTS: 29 instances of POUR with higher rates in men and younger patients (under-50s), independent of either pre-existing renal impairment or opiate strength. POUR was observed to increase length of stay by 1.6 days. CONCLUSIONS: We report a 36% overall rate of POUR. Males demonstrated a 3-fold increased risk. Patients should be counselled pre-operatively on the risk of urinary retention.
BACKGROUND:Postoperative urinary retention (POUR) occurs frequently following hip replacement. METHODS: 94 consecutive primary hip arthroplastypatients were assessed prospectively for POUR. 80 patients followed our anaesthesia protocol with combined general and spinal anaesthesia using bupivacaine and intrathecal diamorphine. RESULTS: 29 instances of POUR with higher rates in men and younger patients (under-50s), independent of either pre-existing renal impairment or opiate strength. POUR was observed to increase length of stay by 1.6 days. CONCLUSIONS: We report a 36% overall rate of POUR. Males demonstrated a 3-fold increased risk. Patients should be counselled pre-operatively on the risk of urinary retention.
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