Retention of Urine After Elective Total Hip and Knee Replacement Surgeries – A Literature Review

Authors

  • Mahendar Kumar Anaesthesia Royal College of Surgeons of Ireland Drogheda , Internal medicine, California Institute of Behavioural Neurosciences & Psychology, Fairfield, California, USA
  • Namballa Naveen Internal Medicine, Steel Authority of India (SAIL) Hospital, Dhanbad, IND
  • Vamsi Krishna Pachchipulusu Internal medicine, California Institute of Behavioural Neurosciences & Psychology, Fairfield, California, USA
  • Yubraj Paudel Internal medicine, California Institute of Behavioural Neurosciences & Psychology, Fairfield, USA
  • Anandkumar Patel Neurology, California Institute of Behavioural Neurosciences & Psychology, Fairfield, California, USA
  • Beenish Najam Internal medicine, California Institute of Behavioural Neurosciences & Psychology, Fairfield, California, USA
  • Heet N. Desai Internal medicine, California Institute of Behavioural Neurosciences & Psychology, Fairfield, California, USA
  • Janan Illango Research, California Institute of Behavioural Neurosciences & Psychology, Fairfield, California, USA
  • Kofi D. Seffah Internal Medicine, California Institute of Behavioural Neurosciences & Psychology, Athens, Georgia, USA , Internal Medicine, Piedmont Athens Regional Medical, Athens, USA
  • Sai Sri Penumetcha General Medicine, California Institute of Behavioural Neurosciences & Psychology, Fairfield, California, USA , General Medicine, Chalmeda Anand Rao Institute of Medical Sciences, Karimnagar, India, IND

DOI:

https://doi.org/10.56570/jimgs.v2i2.140

Keywords:

preventive measures, risk factors, elective total knee replacement, elective total hip replacement, post- operative urinary retention

Abstract

Urinary retention postoperatively is alarming complication that happened after elective hip and knee replacement surgeries. This literature review examined the incidence, risk factors, and management of postoperative urinary retention (POUR) in elective total hip and knee replacement surgery over the last five years. POUR is a common complication of these surgeries, which can cause discomfort and manged with catheterisation and catheterisation can lead to lead to urinary tract infection and can affect the efficacy of prosthesis in future, prolonging hospital stay and increasing the cost. Through comprehensive research of relevant databases, eight studies published between 2017 and 2021 were identified and included in this review. The results showed that urinary retention after surgery ranged from 3% to 43%, with higher rates reported in males, patients with pre-existing urinary conditions, and those who received spinal anaesthesia-risk factors associated with POUR included age, BMI, surgery duration, and intraoperative fluid administration. POUR is a significant complication of elective total hip and knee replacement surgery, with a wide range of reported incidence rates. The identified risk factors and management strategies can help clinicians optimize patient care and minimize the risk of POUR. Further research is needed to standardize the diagnosis and management of POUR in this patient population.

References

Ziemba-Davis M, Nielson M, Kraus K, Duncan N, Nayyar N, Meneghini RM. Identifiable Risk Factors to Minimize Postoperative Urinary Retention in Modern Outpatient Rapid Recovery Total Joint Arthroplasty. J Arthroplasty. 2019;34(7S):S343-S347. doi:10.1016/j.arth.2019.03.015

Balderi T, Carli F. Urinary retention after total hip and knee arthroplasty. Minerva Anestesiol. 2010;76(2):120-130.

Valsalan VK, Chandran S: Comparative study of urinary retention in lower Limb surgeries between general and spinal anesthesia. Int J Sci Study. 2017, 134:134. 10.1735/ijss/2017/173

Daurat A, Choquet O, Bringuier S, Charbit J, Egan M, Capdevila X. Diagnosis of Postoperative Urinary Retention Using a Simplified Ultrasound Bladder Measurement. Anesth Analg. 2015;120(5):1033-1038. doi:10.1213/ANE.0000000000000595

Halawi MJ, Caminiti N, Cote MP, Lindsay AD, Williams VJ. The Most Significant Risk Factors for Urinary Retention in Fast-track Total Joint Arthroplasty are Iatrogenic. J Arthroplasty. 2019;34(1):136-139. doi:10.1016/j.arth.2018.08.042

Agarwal A, Miller S, Hadden W, et al. Comparison of gait kinematics in total and unicondylar knee replacement surgery. Ann R Coll Surg Engl. 2019;101(6):391-398. doi:10.1308/rcsann.2019.0016

Garbarino LJ, Gold PA, Anis HK, et al. Does Intermittent Catheterization Compared to Indwelling Catheterization Decrease the Risk of Periprosthetic Joint Infection Following Total Knee Arthroplasty?. J Arthroplasty. 2020;35(6S):S308-S312. doi:10.1016/j.arth.2020.02.055

Pomajzl AJ, Siref LE: Post-op urinary retention. Treasure Island, FL: StatPearls Publishing; 2020.

Zelmanovich A, Fromer DL (2018: Urinary Retention after Orthopedic Surgery: Identification of Risk Factors and Management. J Clin Exp Orthop Vol. 4:54. 10.4172/2471-8416.100054

Cha YH, Lee YK, Won SH, Park JW, Ha YC, Koo KH. Urinary retention after total joint arthroplasty of hip and knee: Systematic review. J Orthop Surg (Hong Kong). 2020;28(1):2309499020905134. doi:10.1177/2309499020905134

Tischler EH, Restrepo C, Oh J, Matthews CN, Chen AF, Parvizi J. Urinary Retention is Rare After Total Joint Arthroplasty When Using Opioid-Free Regional Anesthesia. J Arthroplasty. 2016;31(2):480-483. doi:10.1016/j.arth.2015.09.007

Ares O, Arnold WV, Atilla B, et al. General Assembly, Prevention, Host Related Local: Proceedings of International Consensus on Orthopedic Infections. J Arthroplasty. 2019;34(2S):S3-S12. doi:10.1016/j.arth.2018.09.049

Kwak DK, Oh CY, Lim JS, Lee HM, Yoo JH: Would early removal of indwelling catheters effectively prevent urinary retention after hip fracture surgery in elderly patients?. J Orthop Surg Res. 2019, 14:17. 10.1186/s13018-019-1360-1

Lawrie CM, Ong AC, Hernandez VH, Rosas S, Post ZD, Orozco FR. Incidence and Risk Factors for Postoperative Urinary Retention in Total Hip Arthroplasty Performed Under Spinal Anesthesia. J Arthroplasty. 2017;32(12):3748-3751.doi:10.1016/j.arth.2017.07.009

Kort NP, Bemelmans Y, Vos R, Schotanus MGM. Low incidence of postoperative urinary retention with the use of a nurse-led bladder scan protocol after hip and knee arthroplasty: a retrospective cohort study. Eur J Orthop Surg Traumatol. 2018;28(2):283-289. doi:10.1007/s00590-017-2042-5

Scholten R, Kremers K, van de Groes SAW, Somford DM, Koëter S. Incidence and Risk Factors of Postoperative Urinary Retention and Bladder Catheterization in Patients Undergoing Fast-Track Total Joint Arthroplasty: A Prospective Observational Study on 371 Patients. J Arthroplasty. 2018;33(5):1546-1551. doi:10.1016/j.arth.2017.12.001

Santini AJ, Jakaraddi CA, Polydoros F, Metikala S. Validity of the International Prostate Symptoms Score in predicting urinary retention after joint replacement. J Orthop Surg (Hong Kong). 2019;27(3):2309499019868670.doi:10.1177/2309499019868670

Markopoulos G, Kitridis D, Tsikopoulos K, Georgiannos D, Bisbinas I. Bladder training prior to urinary catheter removal in total joint arthroplasty. A randomized controlled trial. Int J Nurs Stud. 2019;89:14-17. doi:10.1016/j.ijnurstu.2018.09.007

Magaldi RJ, Strecker SE, Nissen CW, Carangelo RJ, Grady-Benson J. Preoperative Factors to Assess Risk for Postoperative Urinary Retention in Total Joint Arthroplasty: A Retrospective Analysis. Arthroplast Today. 2022;13:181-187. Published 2022 Jan 20. doi:10.1016/j.artd.2021.10.009

Bracey DN, Barry K, Khanuja HS, Hegde V. Postoperative Urinary Retention in Modern Rapid Recovery Total Joint Arthroplasty. J Am Acad Orthop Surg. 2022;30(10):443-447. doi:10.5435/JAAOS-D-21-00963

Hamed Y, Ramesh A, Taylor R, Michaud R. Anticipating Urinary Retention Following Total Hip and Total Knee Replacements. Malays Orthop J. 2020;14(3):110-113. doi:10.5704/MOJ.2011.017

Choi CI, Kim JK, Choo MS, Lee SH, Chang JD, Han JH. Preventive effects of tamsulosin for postoperative urinary retention after lower limb arthroplasty: A randomized controlled study. Investig Clin Urol. 2021;62(5):569-576. doi:10.4111/icu.20200523

Bracey DN, Hegde V, Pollet AK, Johnson RM, Jennings JM, Miner TM. Incidence and Predictive Risk Factors of Postoperative Urinary Retention After Primary Total Knee Arthroplasty. J Arthroplasty. 2021;36(7S):S345-S350.doi:10.1016/j.arth.2021.02.043

Downloads

Published

2023-09-28

Issue

Vol. 2 No. 2 (2023): Vol. 2 No. 2 (2023)

Section

Articles

How to Cite

1.
Kumar M, Naveen N, Pachchipulusu VK, et al. Retention of Urine After Elective Total Hip and Knee Replacement Surgeries – A Literature Review. Journal For International Medical Graduates. 2023;2(2). doi:10.56570/jimgs.v2i2.140