Prolonged catheterization after vaginal prolapse surgery

Vierhout, MarkEwout

doi:10.1080/j.1600-0412.1998.771009.x

Cited by 16 publications

(7 citation statements)

References 9 publications

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“…Furthermore, the practice of indwelling catheter use may be more convenient for providers who care for these patients 5 . On the contrary, prolonged catheterization increases the chance of urinary tract infection; prevents early ambulation, prolongs hospital stay and also adversely impacts post operative wellbeing 6–8 . However there is no consensus on how best to minimize complications of prolonged catheterization and practice varies.…”

Section: Introductionmentioning

confidence: 99%

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

Kamilya

Seal

Mukherji

et al. 2010

J of Obstet and Gynaecol

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Section: Introductionmentioning

confidence: 99%

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

Kamilya

Seal

Mukherji

et al. 2010

J of Obstet and Gynaecol

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“…In our routine practice, the actual proportion of patients requiring prolongation of catheterisation remains unknown. Moreover, bladder catheterisation increases the occurrence of urinary tract infections 1,2 and is likely to have a negative impact on the wellbeing of patients after surgery and to prolong hospital stay 3 …”

Section: Introductionmentioning

confidence: 99%

How long should urinary bladder catheterisation be continued after vaginal prolapse surgery?

Hakvoort

Elberink

Vollebregt

et al. 2004

BJOG

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Setting A large training hospital in the Netherlands.Population Patients undergoing anterior colporrhaphy.Methods One hundred patients were included. Patients were randomised into two groups. In one group (n ¼ 50), a transurethral catheter was in place for four days post-operatively and removed on the fifth postoperative day. In the other group (n ¼ 50), catheterisation was not prolonged and the catheter was removed the morning after surgery. Residual volumes after removal of the catheter were measured by ultrasound scanning. Where residual volumes of >200 mL were found the patient was recatheterised for three more days. Urinary cultures were taken before removal of the catheter. Six patients were excluded: four in the standard prolonged catheterisation group and two in the not prolonged catheterisation group. Main outcome measures Need for recatheterisation, urinary tract infection, mean duration of catheterisation and hospital stay. Results Residual volumes exceeding 200 mL and need for recatheterisation occurred in 9% in the standard prolonged catheterisation group versus 40% of patients in the not prolonged catheterisation group (OR 0.15, 95% CI 0.045 -0.47). Positive urine cultures were found in 40% of cases in the standard prolonged catheterisation group compared with 4% in the not prolonged catheterisation group (OR 15, 95% CI 3.2 -68.6). Mean duration of catheterisation was 5.3 days in the standard prolonged catheterisation group and 2.3 days in the not prolonged catheterisation group (P < 0.001). Mean duration of hospitalisation was 7 days in the standard prolonged catheterisation group and 5.7 days in the not prolonged group (P < 0.001). Conclusion The disadvantages of prolonged catheterisation outweigh the advantages, therefore, removal of the catheter on the morning after surgery may be preferable and longer term catheterisation should only be undertaken where there are specific indications.

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“…Moreover, bladder catheterization increases the occurrence of urinary tract infections, and is likely to have a negative impact on the well being of patients after surgery and to prolong hospital stay. 5 Thakur et al 6 found that short term catheterization is more beneficial in term of lower incidence of urinary tract infection and febrile morbidities after vaginal prolapsed surgery. Hakvoort et al 7 concluded that disadvantages of prolong catheterization outweigh the advantages.…”

Section: Introductionmentioning

confidence: 99%

Short term catheterization versus long term catheterization after vaginal prolapsed surgery: A randomized control trial in Dhaka National Medical College & Hospital

Khatun

Arzu

Haider

2013

J. Dhaka Natl. Med. Coll. Hosp.

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Objective: This study was undertaken to determine whether short term bladder catheterization would be more beneficial than the routinely practiced long term catheterization after vaginal hysterectomy for prolapsed uterus. Materials and methods: This randomized controlled trial was conducted in Obstetrics and Gynecology Department of Dhaka National Medical College Hospital from January 2009 to January 2011. A total of 106 women were included in this study. They were randomized into short term catheterization group where transurethral catheter was removed after 24 hours of surgery and long term catheterization group where catheter was removed on 3rd post operative day. Result: Mean time of first voiding after removal of catheter was almost equal in both groups (2.82±1.42 hours and 2.74±1.52 hours). Duration of catheter did not affect the duration of first voiding time after removal of catheter (P>0.05). None of the women had residual volume of urine >200 ml in both groups. Mean residual volume is significantly high in long term catheterization group (P<0.05). Urinary tract infection was also significantly high in long term catheterization group (P<0.05) and majority of the infection were caused by E. coli. Conclusion: Short term catheterization is more beneficial in terms of lower incidence of urinary tract infection and prevention of bladder over filling as compared to long term catheterization after vaginal prolapsed surgery. DOI: http://dx.doi.org/10.3329/jdnmch.v18i2.16012 J. Dhaka National Med. Coll. Hos. 2012; 18 (02): 4-8

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Prolonged catheterization after vaginal prolapse surgery

Abstract: Domestic use of a transurethral Foley catheter is a valid alternative to intermittent or suprapubic catheterization when normal micturition is not easily restored after vaginal prolapse surgery. It is, however, experienced as relatively unpleasant by more than one third of the patients.

Cited by 16 publications

References 9 publications

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

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

How long should urinary bladder catheterisation be continued after vaginal prolapse surgery?

Short term catheterization versus long term catheterization after vaginal prolapsed surgery: A randomized control trial in Dhaka National Medical College & Hospital

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