When to Perform Bladder Catheterization in Fast-track Hip and Knee Arthroplasty
- Conditions
- Postoperative Urinary Retention (POUR)
- Interventions
- Procedure: Current used interventional threshold for urinary bladder catheterization (500 ml)Procedure: increased interventional threshold for urinary bladder catheterization (800 ml)Device: Intermittent bladder catheter
- Registration Number
- NCT02126813
- Lead Sponsor
- Rigshospitalet, Denmark
- Brief Summary
Approximately 40 % of all patients undergoing fast-track total hip or knee arthroplasty needs intermittent bladder catheterization after surgery, as they are transient incapable of voluntary bladder emptying (postoperative urinary retention - POUR). The currently used interventional threshold for urinary bladder catheterization are a bladder volume of approximately 500 ml., but no evidence exists for this threshold. At the same time, the current knowledge suggest, that a bladder volume up to 1000 ml. for 2-4 hours are safe in humans, and as the use of urinary bladder catheterization are increasing the risk of complications, the investigators are hypothesizing that increasing the interventional threshold for urinary bladder catheterization after fast-track total hip or knee arthroplasty, will reduce the number of patients needing urinary bladder catheterization, without increasing the incidence of urological complications - including urinary tract infections.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 800
- planned for elective total hip or knee arthroplasty
- given written informed consent for participation
- can't co-operate to participation
- can't speak or understand danish
- preoperative use of urinary bladder catheterization
- using haemodialysis
- previous cystectomy
- need for permanent urinary bladder catheter during surgery (decided by anaesthesiologist and/or surgeon)
- Pregnant or given birth within the last 6 months
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description 500 ml. Current used interventional threshold for urinary bladder catheterization (500 ml) A bladder volume of 500 ml. or more, and incapability of voluntary micturition, is used as interventional threshold for urinary bladder catheterization. 500 ml. Intermittent bladder catheter A bladder volume of 500 ml. or more, and incapability of voluntary micturition, is used as interventional threshold for urinary bladder catheterization. 800 ml increased interventional threshold for urinary bladder catheterization (800 ml) A bladder volume of 800 ml. or more, and incapability of voluntary micturition, is used as interventional threshold for urinary bladder catheterization. 800 ml Intermittent bladder catheter A bladder volume of 800 ml. or more, and incapability of voluntary micturition, is used as interventional threshold for urinary bladder catheterization.
- Primary Outcome Measures
Name Time Method Number of patients receiving postoperative urinary bladder catheterization Patients will be followed from end of surgery to their first voluntary micturition, expectably within a mean period of twelve hours
- Secondary Outcome Measures
Name Time Method Number of readmissions due to urological issues (including urosepsis) Within the first 30 days postoperatively Number of voiding difficulties acquired postoperatively within the first 30 days postoperatively Incidence of urinary tract infections within the first 30 days after surgery
Trial Locations
- Locations (3)
Department of Orthopaedics, Vejle Hospital
🇩🇰Vejle, Denmark
Aalborg University Hospital, Farsoe
🇩🇰Farsoe, Denmark
Department of Orthopaedics, Gentofte University Hospital
🇩🇰Hellerup, Denmark