Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: General Orthopaedics
Abstract number: 25222
REVIEW OF URINARY CATHETERISATION AFTER TOTAL JOINT
REPLACEMENT
Peter DOMOS 1 , Tim BRAMMAR 2
1 West Suffolk NHS Hospital, Bury St Edmunds (UNITED KINGDOM), 2 Ipswich NHS
Hospital, Ipswich (UNITED KINGDOM)
Introduction: This prospective study was carried out to review the catheterisation
following total joint replacement. Methods: 106 patients (58 male and 48 female) who
underwent total joint replacement were audited. The mean age of the patients was
68.4 years (range 43-83 years). Each patient was questioned and detailed urological
history was taken to the presence of lower urinary tract symptoms preoperatively. All
patients were observed postoperatively and catheterised if necessary. Results: The
overall incidence of postoperative bladder catheterisation was 52.8%. 65.5% of
males and 37.5% of females needed catheter with the average time of 8.8 hours from
operation to the insertion. 4 patients (3.8%) had re-retention after removal and 2
patients (1.9%) were complicated with chronic urinary problems. 4 patients (3.8%)
developed lower urinary tract infection. All female patients were catheterised due to
incontinency. 33.3% who had a previous history of stress incontinency and 66.6%
with urge incontinency required insertion of catheter. All males who had previous
history of urological problems needed urinary catheter. In our study preoperative
hesitancy and dribbling symptoms found to be best predictor for postoperative
catheterisation. 6 males (10.3%) and 4 females (8.3%) were catheterised although
they denied having any urinary symptoms preoperatively. Conclusion: This study
supports that the postoperative urinary catheterisation is predictable and patients at
risk can be identified. All patients being considered for total joint replacement should
undergo preoperative urological evaluation and the patients may be observed,
catheterised as necessary postoperatively.
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