Researchers examined data from 685 consecutive, unilateral total joint arthroplasty patients who were discharged the same day or the day after their surgery. Postoperative urinary retention was diagnosed by a perioperative internal medicine specialist. The researchers analyzed a sample of 633 procedures.
The key research details to know:
1. Postoperative urinary retention incidence was 5.5 percent, and 3.9 percent for same day discharges.
2. Outpatient surgery was not associated with an increased risk of postoperative urinary retention.
3. A history of urinary retention and male sex were associated with acute postoperative urinary retention, in addition to rocuronium glycopryrrolate, fentanyl spirals and neostigmine use.
Researchers concluded, “Despite a relatively low incidence of 5.5 percent, avoidance of anticholinergics and cholinesterase inhibitors during anesthesia should be carefully considered in outpatient TJA, particularly in stand-alone ambulatory surgery centers.
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