Impact of Integrated Care Pathways for Prevention of Post-operative Urinary Retention (POUR)

Inclusion Criteria: * ASA grade I- III * BMI under 36 kg/m\^2 * Scheduled surgery for primary total hip or knee replacement * Age 18+ years Exclusion Criteria: * Contraindications or failure of neuraxial anesthesia * Patients must not be outpatient total hip or knee procedure * Known intercurrent UTI, incontinence, or urinary retention not addressed by pre-operative urologic consultation and correction * Pregnancy * Current nicotine, alcohol or drug abusers * Pre-operative narcotic use (any narcotic consumption within 3 days prior to surgery) * Post- operative parenteral narcotic administration * Allergy or intolerance to liposomal bupivacaine, bupivacaine, celecoxib, dexamethasone and/or pregabalin