Postoperative Urinary Retention in Patients Who Undergo Joint Arthroplasty or Spine Surgery.

JBJS Rev · Jul 2020 · Review

Karani R, Mahdy A, Asghar F

Departments of Urology (A.M.) and Orthopaedic Surgery (F.A.), University of Cincinnati Medical Center, Cincinnati, Ohio

Adult Reconstruction

SUMMARY — THE REDUCTIONPostoperative urinary retention after arthroplasty or spine surgery is linked to older age, male sex, IV fluids, longer operative time, and BPH; catheterization is preferred for at-risk patients, but a standard POUR definition is lacking.
Abstract, as published

Postoperative urinary retention (POUR) may result from orthopaedic procedures and potentially lead to bacteremia and chronic voiding difficulties. Risk factors for POUR include age, undergoing joint arthroplasty, male sex, intraoperative intravenous fluid administration, operative time, and history of benign prostatic hyperplasia. Indwelling catheterization is the preferred management strategy for patients at risk for developing POUR. A consistent definition of POUR is needed in order to draw conclusions from future studies.

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