A prospective, randomised, controlled trial comparing 3 hour and 24 hour postoperative removal of bladder catheter and vaginal pack following vaginal prolapse surgery

Abstract

We recommend removing the vaginal pack and urinary catheter after 3 h with careful monitoring of the patient's voiding.

Comparing clean intermittent catheterisation and transurethral indwelling catheterisation for incomplete voiding after vaginal prolapse surgery: a multicentre randomised trial

“…24 This is especially the case after vaginal prolapse surgery, when the duration of initial catheterisation can be reduced to 1 day or even less. [1][2][3]10 Furthermore, three studies show advantages of CIC over SPC concerning acceptability, duration of treatment and hospitalisation. 23,25,26 The length of the prolongation period in the TIC group of 3 days might seem arbitrary.…”

“…The incidence varies widely between studies because of differences in definition, but has been shown to vary from 1.4 to as high as 40%. [1][2][3] When the problem is unrecognised or left untreated, bladder overdistension can occur, which can have negative effects on bladder function in the long term. 4 Although the inability to adequately empty the bladder is generally short lasting, there is a huge variation in the management of this complication, and many physicians still tend to initially catheterise for several days.…”

“…4 Although the inability to adequately empty the bladder is generally short lasting, there is a huge variation in the management of this complication, and many physicians still tend to initially catheterise for several days. 2,3,[5][6][7][8][9] Based on a Cochrane review studying catheter policies after urogenital surgery, and other recent randomised controlled trials studying catherisation specifically after vaginal prolapse surgery, there is an ongoing trend to further restrict the duration of this standard prolonged catheterisation. [1][2][3] However, there is insufficient evidence to tell whether this duration should be 1 day postoperatively or even less.…”

“…2,3,[5][6][7][8][9] Based on a Cochrane review studying catheter policies after urogenital surgery, and other recent randomised controlled trials studying catherisation specifically after vaginal prolapse surgery, there is an ongoing trend to further restrict the duration of this standard prolonged catheterisation. [1][2][3] However, there is insufficient evidence to tell whether this duration should be 1 day postoperatively or even less. 10 Naturally, patients who experience abnormal post-void residual volumes (PVR) should receive additional treatment.…”

Anterior Colporrhaphy Technique and Approach Choices: Turkey Evaluation

“…Gece boyunca vajinal tampon kalması hematom riskini azaltırken postoperatif ağrı ve vajinal enfeksiyon açısından risk teşkil etmemektedir (34). Yapılan iki çalışma üç saatlik vajinal tampon uygulamasının hematom oluşumunu ve kanamayı engellemek açısından etkinliğinin 24 saat kalmasıyla aynı olduğunu göstermiştir (35,36). Bizim çalışmamızda ise katılımcıların çok büyük bir çoğunluğu tamponu operasyonun ertesi gününde çıkartıyorlardı.…”