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.
More articles on orthopedics & TJR:
10 things to know about total joint replacement in ASCs for 2019
The Orthopaedic Surgery Center signs contract with ORHub
CHI Franciscan Health settles lawsuit alleging 2 physician group deals were illegal — 6 details
At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.