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Complications associated with indwelling urethral catheter aft er major joint arthroplasty in men


Authors: Jana Hrubinová 1;  Maroš Hrubina 2;  Jaromír Pangrác 1
Authors‘ workplace: Urologické oddělení Nemocnice Pelhřimov 1;  Ortopedické oddělení Nemocnice Pelhřimov 2
Published in: Ces Urol 2012; 16(1): 29-36
Category: Original article

Overview

Aim:
Urological complications associated with indwelling urethral catheter in men after total knee and hip arthroplasty. An analysis focused on the incidence and risk factors leading to these complications.

Methods:
In 2008 and 2009, 94 knee replacements were peformed in 93 men, aged on average 69.9 years, and 124 hip replacements in 124 men, aged on average 74.5. Following each surgery, the urinary catheter was placed. The followup period extended to the end of 2010 and analysis was based on the IPSS and the general patient satisfaction. The duration of the catheterization was also considered.

Results:
In the group of 93 patients, after the total knee arthroplasty, 18 patients (19.4%) experienced urological complications. The average indwelling period was 4 days; in patients encountering complications, it was 6 days. One year following the procedure, the average IPSS was 8/35; in the group with complications, it was 12/35. Four patients (4.3%) were dissatisfied. In the group of 124 patients with the hip replacement, there were urological complications in 27 (21.8%). The average indwelling period was five days; in the case of complications, it was six days. General dissatisfaction was reported by four patients (3.2%).

Conclusion:
The incidence of urological complications in men was 19.4% after the knee arthroplasty and 21.8% after the hip arthroplasty. Risk factors include patients over 65 years of age with the catheter indwelled for 6 or more days with positive urological history. The authors suggest that the indwelling period should be reduced and the routine catheterization of all patients after the joint replacement surgery should be avoided.

Key words:
urethral catheter, urologic


Sources

1. Hrubina M, Běhounek J, Skoták M. Střednědobé výsledky necementované jamky TEP kyčelního kloubu Ultima u primoimplantací. Acta Chir orthop Traum čech 2008; 75: 205–211.

2. Jahoda D, Nyč O, Šimša J, et al. Pozdní hematogenní infekce kloubních náhrad. Acta Chir orthop Traum čech 2008; 75: 88–92.

3 Tomáš T. Pacient – rizikový faktor infekce totální endoprotézy. Acta Chir orthop Traum čech 2008; 75: 451–456.

4. Ženíšek J. Striktury uretry. Urol Praxi 2002; 3: 67–69.

5. Amrichová J, Hrubina M, Pangrác J. Permanentní močový katétr jako rizikový faktor vzniku urologických komplikací po TEP kyčelního kloubu – retrospektivní analýza. Urol Praxi 2011; 12: 203–207.

6. Hrubina M, Skoták M, Běhounek J. Komplikace operační léčby zlomenin proximálního femuru metodou DHS. Acta Chir orthop Traum čech 2010; 77: 395–401.

7. Grill R, Mašková V, Džupa V, et al. Urologické a sexuální poruchy poruchy po závažném poranění pánve. Čes Urol 2007; 2: 115–118.

8. Hlaváčová J, Hora M, Pavelka T, et. al. Urologické komplikace fraktur pánve. Čes Urol 2011; 15: 35–44.

9. Pavelka T, Houček P, Hora M, Hlaváčová J, Linhart M. Urologické poranění při zlomeninách pánevního kruhu. Acta Chir orthop Traum čech 2010; 77: 18–23.

10. Brotánek M, Košina J, Holub L, et. al. Antibiotická profylaxe v urologii. Urol Praxi 2010; 11: 97–100.

11. Pavlík I. Farmakoterapie benigní hyperplaze prostaty. Urol Praxi 2006; 7: 3.

12. Kotwal R, Hodgson P, Carpenter C. Urinary retention following lower limb arthroplasty: analysis of predictive factors and review of literature. Acta Orthop Belg 2008; 74: 332–336.

13. Míka P, Hrubina M. Zkušenosti s podáváním bemiparinu na ortopedickém oddělení. Bemiparin Update 2011; 11(1): 5–6.

14. Kajo K, Baláž V, Macháleková K, et al. Sarkomatoidný karcinóm močového mechúra s heterológnou osteosarkomatóznou diferenciáciou. Čes Urol 2011; 15: 120–125.

15. Čermák A, Pacík D. Léčba striktury uretry: dorsální lalok z bukální sliznice – zlatý standard. Urol List 2011; 9: 11–19.

16. Balderi T, Carli F. Urinary retention aft er total hip and knee arthroplasty. Minerva Anestesiol 2010; 76: 120–130.

17. Van den Brand IC, Castelein RM. Total joint arthroplasty and incidence of postoperative bacteriuria with an indwelling catheter of intermitent catheterization with one-dose antibiotic prophylaxis:

a prospective randomized trial. J Arthroplasty 2001; 16: 850–855. 18. Izard JP, Sowery RD, Jaeger MT, Siemens DR. Parameters aff ecting urologic complications after major joint replacement surgery. Can J Urol 2006; 13: 3158–3163.

19. Kočvara R. Poranění mužské uretry – časné a odložené řešení. Urol. List 2005; 3: 26–31.

20. Kolář M, Lochmanová J, Koukalová D, Lovečková Y. Nozokomiální infekce močového traktu, mikrobiologická diagnostika a léčebné možnosti. Urol Praxi 2005; 6: 196–199.

21. Stenzelius K, Persson S, Olsson UB, Stjärneblad M. Noble metal alloy-coated latex versus silicone foley catheter short-term catheterization: a randomized controlled study. Scand J Urol Nephrol 2011; 3: 31.

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Paediatric urologist Nephrology Urology
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