Arthroplasty Complications Clinical Trial
Official title:
Urinary Retention After Arthroplasty - UREA 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.
Adult patients undergoing knee arthroplasty will be recruited to this study. Participants will be randomized to the ultrasound monitoring group or the symptoms alone group. In the symptoms alone group, urination is monitored by asking at regular intervals about the onset of spontaneous urination and the patient is catheterized only on a symptomatic basis or if spontaneous voiding has not started 10 hours after the spinal anesthesia. Symptoms that indicate catheterization are lower abdominal pain or need to void. In the ultrasound group, urinary retention is monitored according to current practice with an ultrasound scanner and the patient is catheterized if residual urine exceeds 800 ml or if the patient is symptomatic. The primary outcome variable is the change in IPSS score from the baseline to 3 months after the procedure. The baseline score is evaluated preoperatively. ;
Status | Clinical Trial | Phase | |
---|---|---|---|
Active, not recruiting |
NCT05181566 -
Metal Ion Levels in Total Hip Arthroplasty (THA) With Modular Dual Mobility Cup Compared to Conventional THA
|
N/A | |
Completed |
NCT04490304 -
The Analysis of Posterior Soft Tissue Repair Durability
|
N/A | |
Completed |
NCT05974501 -
Pre vs Post Block in Total Knee Arthroplasty (TKA)
|
Phase 4 | |
Completed |
NCT04565093 -
Efficacy of iPACK After Unilateral TKA
|
N/A | |
Recruiting |
NCT05845021 -
Surgeon-Initiated Bone Health Referral Pathway in Patients Undergoing Lower Extremity Arthroplasty
|
N/A | |
Recruiting |
NCT03306810 -
Recognition and Treatment of Dysglycemia. AGS - Acute Glucose Service
|
N/A | |
Completed |
NCT04289025 -
Modelling and AI Using Sensor Data to Personalise REHABilitation Following Joint Replacement
|
N/A | |
Not yet recruiting |
NCT06469177 -
Patient Centered Post-Op Pain Management Software Tool Interventional Study Verses Standard of Care
|
N/A | |
Not yet recruiting |
NCT05014932 -
Evaluation of Noise Induced by Ceramic-ceramic Friction Torques of Total Hip Prostheses With Customized Femoral Stem
|
||
Active, not recruiting |
NCT04437888 -
Intraoperative Ketamine for Patients Undergoing Total Joint Arthroplasty
|
Early Phase 1 | |
Completed |
NCT05420194 -
Assessment of Postural Stability in Patients With Total Knee Arthroplasty
|
||
Completed |
NCT03269760 -
Multimodal Sleep Pathway for Shoulder Arthroplasty
|
Phase 1 | |
Completed |
NCT03289247 -
Tissue Adhaesive in Wound Closure Following Primary Total Knee Arthroplasty
|
N/A | |
Completed |
NCT04433962 -
Investigation of the Effects of Balance Training on Balance and Functional Status Patients With Total Hip Arthroplasty
|
N/A | |
Recruiting |
NCT06025448 -
Is MIO-RSA Noninferior to BIO-RSA When it Comes to Mechanical Implant Stability?
|
N/A | |
Recruiting |
NCT05459259 -
Physiotherapy for Arthrofibrosis Following Knee Replacement.
|
||
Not yet recruiting |
NCT05736666 -
Treadmill Perturbation Training for Fall Prevention After Total Knee Replacement
|
N/A | |
Active, not recruiting |
NCT03692364 -
Evaluation of Metal-on-conventional-polyethylene vs Ceramic-on-ceramic Articulating Surfaces in Total Hip Arthroplasty
|
N/A | |
Completed |
NCT05013879 -
Kinesiotape for Edema After Bilateral Total Knee Arthroplasty
|
N/A | |
Completed |
NCT04120324 -
Incidence of 30 Day Return to Hospital Following Same Day Discharge Total Hip Arthroplasty
|