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Urinary Retention, A Common Problem In The Elderly Following Hip Arthroplasty

Author(s): N Goyal

Journal: Journal of Orthopaedics
ISSN 0972-978X

Volume: 4;
Issue: 2;
Date: 2007;
Original page

Keywords: Arthroplasty | Urinary Retention | Urinary Catheter | Infection

We report a study of catheterisation rates following hip arthroplasty amongst the elderly compared to the less than 70 years age group and the importance of preoperative factors in predicting the patients at risk of retention. 232 consecutive patients undergoing total hip replacement were studied. A total of 81 patients (35%) required catheterisation. Elderly patients required catheterisation more frequently compared to less than 70 years age group (45% vs 22%). The difference was significant amongst the elderly ladies. A thorough literature search revealed that the rates of catheterisation especially amongst the elderly following such an intervention have not been well studied. We also investigated factors such as previous history of urinary tract infection, urinary catheterisation in the past for any reason, prostatism, evidence of cognitive impairment and a positive MSSU sample. These have been shown to be important in predicting the likelihood of patients requiring catheterisation (2). We compared the prevalence of these factors in the two age groups studied.
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