Comparative Study Between Retained and Non-retained Urinary Catheter in Total Knee Arthorplasty With Epidural Anesthesia

Navamindradhiraj University242 enrolled

Overview

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

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

OTHER

Masking

NONE

Enrollment

242

Conditions

Postoperative Urinary Retention Urinary Tract Infections Epidural Anesthesia

Interventions

Total knee arthroplastyPROCEDURE

A surgical procedure in which parts of the knee joint are replaced with artificial parts (prostheses)

Urinary CatheterizationPROCEDURE

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.

Eligibility

Sex: ALLMin age: 50 YearsMax age: 80 Years

Medical Language ↔ Plain English

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

Locations (1)

Navamindradhiraj University

Dusit, Bangkok, Thailand

Outcomes

Primary Outcomes

postoperative urinary retention

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

Time frame: 6 hours after surgery and 6 hours after remove urinary catherter

Secondary Outcomes

urinary tract infection

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.

Time frame: 7 days after surgery

Data from ClinicalTrials.gov

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