Abstract
Background: Urinary retention post-operatively is alarming complications that happen following joint replacement. It is managed with catheterization and catheterization can lead to urinary tract infections and can affect the efficacy of the prosthesis in future.
Objective: The objective present paper is to explore the factors related to POUR (post-operative urinary tract infection) and its management.
Methodology: Literature was searched on internet, data extracted and interpreted according to guidelines.
Results: In our research 4.1% and 46.3% of people had POUR. In all, there were 11 studies, and ultrasound was utilized to find POUR in each one. POUR was predisposed by elderly age, gender being male and prostrate hypertrophy, prior history of retention-urine, spinal (Sp)/epidural (Ep) anesthesia, over intravenous administration, analgesia (controlled through self-medication), opiate use, accompanying comorbid, and low ASA grade. Indwelling catheterization during surgery was not used in the majority of the trials. Patients with POUR were treated by sporadic catheterization. 400 ml was typical fluid requirement for bladder catheterization. An indwelling-catheter can be withdrawn during 2 days if it must be used.
Conclusions: This study offered a current guide for the identification and treatment of POUR.
Keywords: knee replacement, Hip replacement, post-operative urinary retention (POUR)