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. 2015 Nov 18;12(Suppl 2):S157-60.
doi: 10.1016/j.jor.2015.10.020. eCollection 2015 Dec.

High rates of postoperative urinary retention following primary total hip replacement performed under combined general and spinal anaesthesia with intrathecal opiate

Michael David  1 , Elizabeth Arthur  2 , Raveena Dhuck  2 , Ellie Hemmings  2 , David Dunlop  3
Affiliations

High rates of postoperative urinary retention following primary total hip replacement performed under combined general and spinal anaesthesia with intrathecal opiate

Michael David et al. J Orthop. .

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.

Keywords: Hip; Opiate; Replacement; Retention; Urinary.

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