A randomized controlled trial comparing short-term versus long-term catheterization after vaginal prolapse surgery

Thakur, Noopur; Gurung, Geeta; Rana, Ashma

doi:10.3126/njog.v2i1.1473

Cited by 10 publications

(14 citation statements)

References 9 publications

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“…The results obtained from this study showed that the level of urinary infection in the short-term catheterization group was lower than the other; the rate of urinary retention in this group was also found to be higher than the other. However, urinary retention has not been reported in the long-term catheterization group 18 . In another study conducted by Hakvoortin, the catheterization was done after the surgery for all patients, and their catheters were removed after one day.…”

Section: Discussionmentioning

confidence: 89%

Comparison of 1 Versus 3 Days Post-Operative Catheterization After Anterior Colporrhaphy

Ahmadi¹,

Rahmani²,

Kambiz³

et al. 2016

AJPRHC

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With attention to the fact that after anterior colporrhaphy surgery and stitches on vaginal mucus, inserting urinary catheter is requested, according to scientific references and in order to prevent from urinary retention, it has been said that the catheter should be inserted for 3 days. But inserting the catheter leads to infections of bladder and pain. So, in the present study, we compared the removal of the catheter 24 hours versus 72 hours after the surgery, considering urinary infections, urinary retention, patient's ease and hospitalization. Within two groups of 70 patients, which has been assimilated based on basic factors (devided into two groups accidently with excel table) urinary catheter fixed for 1 and 3 days. After that, patients were compared considering urinary retention, urinary infections and the rate of patient satisfaction. Urinary retention was 28.6% in the test group and 22.9% in a controlling group which was not statistically meaningful (P=0.78). Urinary infections were 22.9% in the test group and 34.3% in the controlling group (P=0.42) and the rate of patient's satisfactions was 57.1% in the test group and 40% in controlling group (P=0.23). The hospitalization period in the test group and in the control group was 2.91±0.61 and 3.94± 0.59 days respectively with a significant difference (P=0.001). The results showed that short time catheterization is more satisfactory in comparison long catheterizations.

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Section: Discussionmentioning

confidence: 89%

Comparison of 1 Versus 3 Days Post-Operative Catheterization After Anterior Colporrhaphy

Ahmadi¹,

Rahmani²,

Kambiz³

et al. 2016

AJPRHC

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“…5 In another prospective study on 100 vaginal surgeries showed positive urine cultures in 4% and 22% cases in 1day & 3days catheter group respectively (p<0.001). 6 There is 3-10% increased risk of urinary tract infection for each day of catheterisation. 3 Another study showed positive urine culture in 6% and 16% in the short and long term catheterisation group respectively which corroborate with this index study.…”

Section: Discussionmentioning

confidence: 99%

Short term versus conventional Catheterisation after Genital Prolapse Surgery

Tahmin¹,

Begum

2013

Bangladesh J Obstet Gynaecol

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This Randomised controlled clinical trial was undertaken to determine the suitable time of catheter removal after urogenital prolapse surgery in order to reduce the catheter related UTI and its long term sequel. Method: Total 80 patients undergoing vaginal hysterectomy with pelvic floor repair were enrolled and randomised into two equal groups by lottery method. Trans-urethral catheter was removed on 2nd & 5th post operative day in group I (n=40) and in group II (n=40) respectively. Post voidal residual urine volume before operation and after removal of catheter was measured in all patients by ultrasound scanning. Re-catheterisation was done for three more days if residual volume > 200ml after removal of catheter. Urine samples were taken before removal of catheter and send for routine microscopic examination and culture & sensitivity test to detect UTI.Results: Removal of catheter on 2nd post-operative day lead to significant reduction of rate of UTI. The rate of UTI following removal of catheter was 7.5% versus 42.5% in group I and in group II (p<0.001). But need for recatheterisation was significantly higher in group I (15%) than in group II (2.5%). The mean duration of catheterisation was 47.63 (±0.628) and 119.35 (±0.864) hours in group I and group II respectively. Majority of the patients in group I did not require prolongation of catheterisation. Mean duration of hospital stay after operation was 5 days in group I and 7.95 days in group II (p<0.001). Conclusion: Short period catheterisation is associated with lower rate of UTI and shorter hospital stay. Disadvantages of prolonged catheterisation outweigh the advantages. Therefore removal of the catheter on the 2nd post-operative day after genital prolapse surgery is preferable than 5 days catheterization DOI: http://dx.doi.org/10.3329/bjog.v26i2.13782 Bangladesh J Obstet Gynaecol, 2011; Vol. 26(2) : 68-71

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“…Thakur et al, Shrestha et al, Joshi et al in their study also found Escherichia coli to be the most frequent organism in the positive urine cultures. 13,15,16 Summit et al observed that none of the patients required re-catheterization in no catheter group compared to catheterization group, among whom two patients required re-catheterization following vaginal hysterectomy. 9 The study concluded that indwelling catheterization is not required after routine uncomplicated vaginal hysterectomy.…”

Section: Resultsmentioning

confidence: 99%

A prospective randomized trial to compare side effects of early versus late removal of Foley’s catheter and vaginal pack following vaginal hysterectomy

Gupta¹,

Rani²

2018

Int J Reprod Contracept Obstet Gynecol

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Background: There is a controversy about the ideal time for removal of catheter and vaginal pack following vaginal hysterectomy. The present study was undertaken to compare post-operative morbidity in early and late removal of Foley’s catheter and vaginal pack. The aim of this study is to compare post-operative morbidity in early and late removal of Foley’s catheter and vaginal pack following vaginal hysterectomy.Methods: This was a prospective randomized study with n=100 of those women who were undergoing vaginal hysterectomy with or without pelvic floor repair and fulfilled the inclusion criteria. After informed written consent, they were assigned to Foley’s catheter and vaginal pack removal group in 6 hours (group I, n=50) or 24 hours removal group (group II, n=50). Primary parameters used to assess were urine routine and microscopy, urine culture and sensitivity on post-operative day 2, need for re-catheterization and repacking, febrile morbidity, ambulation, vault infection and post-operative hospital stay duration were analyzed in both groups.Results: Febrile morbidity was found in 6% and 8%, Positive urine culture was found in 10% and 20%, Rate of re-catheterization was 10% in group I and group II respectively. Vaginal bleeding after pack removal and repacking was in 6% in group I whilst none had in group II.Conclusions: Early removal was associated with less incidence of urinary tract infection, and increased rate of re-catheterization and repacking. Needs larger comparative studies to support the practice of early removal.

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A randomized controlled trial comparing short-term versus long-term catheterization after vaginal prolapse surgery

Cited by 10 publications

References 9 publications

Comparison of 1 Versus 3 Days Post-Operative Catheterization After Anterior Colporrhaphy

Comparison of 1 Versus 3 Days Post-Operative Catheterization After Anterior Colporrhaphy

Short term versus conventional Catheterisation after Genital Prolapse Surgery

A prospective randomized trial to compare side effects of early versus late removal of Foley’s catheter and vaginal pack following vaginal hysterectomy

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