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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. Bladder volume in particular is central for the definition of POUR, since it is the basis for catheterization threshold.

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