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Although different pharmacological approaches have been attempted to avoid POUR, the results have been inconclusive or controversial Baldini et al. Although fast-track THA and TKA and early mobilization may potentially facilitate restoration of bladder function due to improved pain management with opioid-sparing analgesia, no large-scale data exist on the incidence of POUR and its consequences in fast-track settings. To develop and agree on a precise and unambiguous definition of POUR in order to conduct and compare future clinical trials. Unfortunately, no such definition exists, even among urologists Kaplan et al.

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Language: English French. In , our provincial government initiated a program to reduce wait times for total hip or knee replacements by referring patients to a single tertiary-care centre. This program provided an opportunity to identify risk factors for perioperative complications as part of a continuing quality improvement project. We report the risk of postoperative urinary retention after hip and knee replacements and the risk factors associated with this complication. After local Research Ethics Board approval, data were abstracted from charts of patients who underwent elective primary unilateral total hip or knee replacement surgery.