Erfahrung mit der Blasendrainage nach gynäkologischen Operationen

Abstract

In a retrospective study, the complications of vesical drainage after gynaecological surgery in 2362 cases was analysed. The suprapubical catheter was found to cause less urinary tract infection than the dwelling transurethral catheter. Less intermittent recatheterisation, owing to vesical emptying disorders, was needed after suprapubical catheter. Due to frequent obstruction, the suprapubical catheter had to be removed earlier in some cases. In this study urinary tract infection was more frequently observed after vaginal hysterectomy than abdominal. Regarding the incidence of microorganisms in the urine, we found, that after Caesarean section Staph. epidermidis occurred more frequently, whereas E. coli prevailed in most of the other cases.

Postoperative voiding, bacteriuria and urinary tract infection with Foley catheterization after gynecological surgery

“…Postoperative bacteriuria and UTI are common after gynecological surgery, but with an enormous range of 1.2–75% in different studies (12), (13). Many studies are retrospective, and comparison is made difficult by diagnostic criteria being different or not actually defined, procedures being different or unspecified, frequent use of antibiotics, and few studies differentiating between asymptomatic bacteriuria and symptomatic infections.…”