Epidural Anesthesia, Postoperative Urinary Retention, Urinary Tract Infections
Conditions
Brief summary
The purpose of this study is to compare the prevalence of postoperative urinary retention between retained and non-retained urinary catheter in total knee arthorplasty with epidural anesthesia
Interventions
Urinary catheterization is a latex, polyurethane, or silicone tube known as a urinary catheter is inserted into a patient's bladder via the urethra. Catheterization allows the patient's urine to drain freely from the bladder for collection.
A surgical procedure in which parts of the knee joint are replaced with artificial parts (prostheses)
Sponsors
Study design
Eligibility
Inclusion criteria
* Primary osteoarthritis of knee who were scheduled for a primary total knee arthroplasty
Exclusion criteria
* History of renal disease * History of urinary tract infection * History of previous urinary tract surgery * Benign prostatic hypertrophy * Bilateral total knee arthroplasty * Revision total knee arthroplasty * Patients who need intraoperative monitoring of urine output
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| postoperative urinary retention | 6 hours after surgery and 6 hours after remove urinary catherter | Patients who didn't void within 6 hours with suprapubic discomfort and had a urinary volume 400 mL or more confirmed by single intermittent catheterization |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| urinary tract infection | 7 days after surgery | An infection of the kidney, ureter, bladder, or urethra. The symptoms are burning with urination and having to urinate frequently and fever \> 38° C. Urine culture shows a bacterial colony count of greater than or equal to ten to the fifth colony-forming units per mL of a typical urinary tract organism. |
Countries
Thailand