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

Plain Language Summary

Simplified for easier understanding

This study is looking at urinary retention — difficulty urinating — that can occur after knee replacement (arthroplasty) surgery. After surgery, some patients find it hard to empty their bladder fully, which can be uncomfortable and may require medical intervention. This study aims to better understand how common this problem is and what factors might make it more or less likely to happen. Participants are adults scheduled for a planned total knee arthroplasty (knee replacement) under spinal anesthesia. The study does not change the surgery itself — it observes patients after surgery to track any urinary issues and assess outcomes. You may be eligible if... - You are 18 years of age or older - You are having an elective (planned) total knee arthroplasty - Your surgery will be done under spinal anesthesia You may NOT be eligible if... - You have had previous surgery for urologic cancer - Your surgery is for a fracture (rather than planned replacement) - You already have untreated urinary retention - You have a nephrostomy (a tube in your kidney) - You are having general anesthesia Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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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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