Treatment of urinary complications after total joint replacement in elderly females
Urology. 1988; 32(3): 186-188.
Urinary retention and the possible consequence of infection after total joint replacement is an important subject to urologists and orthopedic surgeons. A prospective, randomized study was performed in 77 elderly female patients with total joint replacement to test whether twenty-four-hour catheterization perioperatively or straight catheterization postoperatively in the recovery room might reduce the control group's incidence of postoperative urinary tract infection (9%), urinary retention (57%), and subsequent urinary catheterizations. In 16 percent of the patients who had straight catheterization in the recovery room a urinary tract infection developed postoperatively, and 65 percent of these patients required at least one more catheterization with 13 percent requiring a subsequent indwelling Foley catheter. The patients who had perioperative (immediately preoperatively and for 24 hours postoperatively) catheter drainage had a zero incidence of retention and only a 4 percent incidence of urinary tract infection. We recommend this regimen for elderly female patients undergoing total joint replacement under spinal anesthesia
*Hip Prosthesis; *Knee Prosthesis; Postoperative Complications [Prevention & Control]; Urinary Tract Infections [Prevention & Control]; Urination Disorders [Prevention & Control.]; Aged; Bacteriuria [Prevention & Control]; Intraoperative Care; Postoperative Care; Prospective Studies; Random Allocation; Time Factors; Urinary Catheterization
RCT
Urologic Center, Pennsylvania Hospital, Philadelphia
