Document Detail


Predicting postoperative urinary retention after lower limb arthroplasty.
MedLine Citation:
PMID:  22943234     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
A simple scoring system that enables surgeons to make an estimation of the likelihood of postoperative urinary retention (POUR) in patients undergoing lower limb total joint replacement would be a useful one. This would enable selection of high risk patients who merit pre-operative catheterisation in a clean theatre environment rather than risking urinary retention and its associated complications late at night on the ward by junior, inexperienced staff. The International Prostate Symptom Score (IPSS) is such a scoring system and we assessed its reliability in predicting those male patients likely to go into POUR. We selected all male patients undergoing lower limb total joint arthroplasty under spinal anaesthesia and calculated their IPSS. We found a statistically significant increase in the likelihood of POUR as IPSS rises (p = 0.0002). We concluded that the IPSS is a quick and easy method of predicting those at risk of POUR, allowing them to be catheterised prophylactically, preventing possible complications.
Authors:
W Km Kieffer; T Pc Kane
Related Documents :
12117204 - Clinical study of disseminated intravascular coagulation in oral and maxillofacial regi...
8926904 - Adult idiopathic thrombocytopenic purpura without the option of splenectomy.
3341064 - Combined plasma exchange and intravenous gammaglobulin in the treatment of patients wit...
2310834 - Bone marrow graft engineering by counterflow centrifugal elutriation: results of a phas...
6731054 - Treatment of cervical disc disease using cloward's technique. iii. evaluation of cervic...
14677004 - The impact of hysterectomy on lower urinary tract symptoms.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Annals of the Royal College of Surgeons of England     Volume:  94     ISSN:  1478-7083     ISO Abbreviation:  Ann R Coll Surg Engl     Publication Date:  2012 Jul 
Date Detail:
Created Date:  2012-09-04     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7506860     Medline TA:  Ann R Coll Surg Engl     Country:  England    
Other Details:
Languages:  eng     Pagination:  356-8     Citation Subset:  IM    
Affiliation:
Department of Orthopaedics, Queen Alexandra Hospital, Southwick Hill Road, Cosham, Portsmouth PO6 3LY, UK. willkieffer@gmail.com.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Septic arthritis of the knee: the use and effect of antibiotics prior to diagnostic aspiration.
Next Document:  Enhanced efficacy and specificity of epithelial ovarian carcinogenesis by embedding a DMBA-coated cl...