Urinary Retention After Arthroplasty

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorCentral Finland Hospital District

About this trial

Arthroplasty increases the risk of postoperative urinary retention. Treatment of postoperative urinary retention is indwelling or intermittent catheterization. The need for catheterization is most commonly determined with an ultrasound scanner. Catheterization increases the risk of urinary tract infection, which may further lead to haematogenic infection of the artificial joint. There is no evidence of an optimal way to monitor the onset of spontaneous urination.

The aim of the study is to determine whether monitoring the onset of spontaneous urination after fast track knee arthroplasty is safe based on symptoms alone without ultrasound monitoring.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

elective total knee arthroplasty

Disqualifiers

previous surgery for urologic cancer

fracture as indication for surgery

lack of co-operation

untreated urinary retention

Trial design

Design model

Parallel

Treatments tested in this trial

  • Catheterization based on ultrasound

    Other intervention

    Bladder volume ultrasound

  • Catheterization based on evaluation of symptoms

    Other intervention

    Ask for symptoms: Need to urinate, lower abdominal pain

Treatment groups

170 Participants
are divided into 2 treatment groups
Group A: Ultrasound monitoring groupActive comparator 1 intervention
Group B: Symptoms alone groupActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

International Prostate Symptom Score (IPSS)

IPSS questionnaire compared to IPSS before surgery. The minimum score is 0. The maximum score is 35. Higher scores mean a worse outcome.

Time frame
3 months after surgery

Secondary outcomes

1

International Prostate Symptom Score (IPSS)

IPSS questionnaire compared to IPSS before surgery. The minimum score is 0. The maximum score is 35. Higher scores mean a worse outcome.

Time frame
12 months after surgery
2

Incidence of urinary complications

Incidence of urinary complications

Time frame
3 months after surgery
3

Health-related quality of life (15D) score

Health-related quality of life(15D) score compared to 15D score before surgery. The minimum score is 0. The maximum score is 1. Higher scores mean a better outcome.

Time frame
3 months after surgery
4

Incidence of urinary complications

Incidence of urinary complications

Time frame
12 months after surgery

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Central Finland Hospital District

Lead sponsor

University of Eastern Finland

Collaborator