Abstract：
: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.
journal_name
Urologyjournal_title
Urologyauthors
Carpiniello VL,Cendron M,Altman HG,Malloy TR,Booth Rdoi
10.1016/0090-4295(88)90381-0subject
Has Abstractpub_date
1988-09-01 00:00:00pages
186-8issue
3eissn
0090-4295issn
1527-9995pii
0090-4295(88)90381-0journal_volume
32pub_type
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