RecruitingNot ApplicableNCT04707001

Urinary Retention After Arthroplasty

Urinary Retention After Arthroplasty - UREA Trial


Sponsor

Central Finland Hospital District

Enrollment

170 participants

Start Date

May 1, 2021

Study Type

INTERVENTIONAL

Conditions

Summary

Arthroplasty increases the risk of postoperative urinary retention. Treatment of postoperative urinary retention is indwelling or intermittent catheterization. The need for catheterization is most commonly determined with an ultrasound scanner. Catheterization increases the risk of urinary tract infection, which may further lead to haematogenic infection of the artificial joint. There is no evidence of an optimal way to monitor the onset of spontaneous urination. The aim of the study is to determine whether monitoring the onset of spontaneous urination after fast track knee arthroplasty is safe based on symptoms alone without ultrasound monitoring.


Eligibility

Min Age: 18 Years

Inclusion Criteria1

  • elective total knee arthroplasty

Exclusion Criteria6

  • previous surgery for urologic cancer
  • fracture as indication for surgery
  • lack of co-operation
  • untreated urinary retention
  • nephrostoma
  • general anesthesia

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Interventions

OTHERCatheterization based on ultrasound

Bladder volume ultrasound

OTHERCatheterization based on evaluation of symptoms

Ask for symptoms: Need to urinate, lower abdominal pain


Locations(1)

Central Finland Hospital Nova

Jyväskylä, Finland

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NCT04707001


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