A prospective analysis of the need for urinary catheterisation in the first 24 h post-primary arthroplasty

Weekes, G.; Quinlan, John; O’Toole, Gary; O’Byrne, J.

doi:10.1007/s00590-006-0083-2

Cited by 1 publication

(2 citation statements)

References 16 publications

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“…Weekes et al created a urinary symptoms questionnaire aiming to identify patients at high risk for POUR before surgery. 3 However, the use of that questionnaire does not help avoid the complications of bladder catheterization itself or reduce the number of unnecessary elective catheterizations. 1,10,11 Bjerregaard et al identified other modifiable risk factors for POUR, including anesthesia technique, opioid use (intrathecal and parenteral), postoperative pain management, and fluid therapy.…”

Section: Discussionmentioning

confidence: 99%

“…Acute postoperative urinary retention (POUR) occurs as a complication of surgical anesthesia in 10-80% of patients. [1][2][3] Intermittent or indwelling bladder catheterization reduces the risks of POUR, bladder overdistention and possible renal impairment. However, catheterization carries increased risks of hospital-acquired urinary tract infections, mechanical urethral trauma, urethral inflammation and subsequent strictures, pain, discomfort, an increased length of hospital stay, and a loss of patient dignity.…”

Section: Introductionmentioning

confidence: 99%

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Nursing interventions reduce postoperative urinary retention in fast-track total hip arthroplasty: A pilot study

Kołodziej¹,

Jurewicz²,

Gębska³

2023

Adv Clin Exp Med

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Background. Postoperative urinary retention (POUR) is a common complication of spinal anesthesia that occurs in 10-80% of patients after total hip replacement (THR). Bladder catheterization carries risks for urinary tract infections, mechanical urethral trauma, urethral inflammation and subsequent strictures, pain, discomfort, an increased length of hospital stay, and a loss of patient dignity.Objectives. We investigated whether simple postoperative nurse-driven intervention protocols, including the sound of running tap water, followed by caffeinated hot beverages (tea or coffee) and pouring warm saline on the perineal area, could reduce POUR and the need for bladder catheterization. Materials and methods.This pilot study included 60 patients undergoing elective fast-track THR with spinal anesthesia and early patient ambulation. Patients with postoperative voiding difficulties received nursing interventions, including hearing running tap water, ingesting caffeinated beverages (tea and coffee), and warm saline poured over the perineal area. If voiding difficulties continued, bladder distention was examined by ultrasound. Catheterization was performed if the volume exceeded 500 mL or if distension caused discomfort or pain.Results. Seven patients (11%) were excluded from the study due to prophylactic preoperative catheterization. Among the 53 included patients, 27 (51%) experienced spontaneous voiding difficulties and received nursing interventions, which induced voiding in 24 patients (45%, p = 0.0027), while 3 (6%) required catheterization.Conclusions. Simple nursing interventions reduced the need for bladder catheterization after fast-track THR.

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