Patients undergoing joint replacement under epidural anaesthesia have no increased risk for postoperative adverse genitourinary (GU) complications by skipping preoperative indwelling urinary catheters, according to a study published in the October issue of the Journal of Arthroplasty.
The researchers observed no differences in the percentage of patients with postoperative GU complications between the groups. There were no differences in GU complications among patients with benign prostatic hyperplasia or prostate cancer. However, the urinary tract infection rate was higher in the catheter group among patients with a history of prostate disorders (benign prostatic hyperplasia or prostate cancer). An association was observed between postoperative GU complications and increased median age and increased average length of stay.
“Until now, we didn’t have the research to show that we could perform the surgery without a Foley catheter,” Michael Charters, a Henry Ford joint replacement surgeon and the study’s senior author, said in a statement. “All of our patients are now undergoing surgery without the catheter. It’s a huge benefit for patients because it improves their mobility immediately after surgery. They can get up and walk around without being impeded by catheter tubes.”
Source: Medical Xpress