The effect of early removal of indwelling urinary catheter on postoperative urinary complications in anterior colporrhaphy surgery

Sekhavat, Leila; Farajkhoda, Tahmineh; Davar, Robab

doi:10.1111/j.1479-828x.2008.00842.x

Cited by 18 publications

(29 citation statements)

References 13 publications

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“…8,20 However, Sekhavat et al and Thapa et al in their studies did not find urinary retention in pelvic reconstructive surgeries. 21,22 In this study, among the patients who had POUR, five patients (55.56%) had VH-PFR for stage II and III which was not statistically significant (p value 0.273) ( Table 4).…”

Section: Type Of Surgerymentioning

confidence: 64%

Prevalence and clinical predictors for early post-operative urinary retention in patients undergoing pelvic reconstructive surgeries: a prospective cohort study

Vijjeswarapu

Londhe

Gowri

et al. 2018

Int J Reprod Contracept Obstet Gynecol

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Background: Pelvic organ prolapse (POP) has a significant impact on quality of life. Post-operative voiding dysfunction is seen in 2.5 to 24% of patients following pelvic reconstructive surgery. Risk factors like age of the patient, size of the genital hiatus and stage of prolapse are known to be associated with early post-operative voiding disorders.Methods: This is a prospective cohort study done in Christian Medical College, Vellore over one year. Patients with stage II to IV pelvic organ prolapse who underwent pelvic reconstructive surgery were observed post operatively for covert and overt urinary retention. Inability to void accompanied by pain and discomfort is defined as overt retention. Early post-operative urinary retention (POUR) is retention of urine in the first 72 hours postoperatively. Covert retention is defined as a non-painful bladder with chronic high post void residue. Chi- square test or Fisher’s exact test was used to assess the association between the clinical predictors and early post-operative urinary retention in univariate analysis.Results: In this study, 75 patients were recruited. Nine patients had POUR. Among the patients who had post-operative urinary retention, 77.78% had stage III pelvic organ prolapse (n=7). P value was 0.042. The prevalence of early POUR after pelvic reconstructive surgery was 12.85 % (n=9). A 55.55% had covert retention (n=5) and 44.44% patients had overt retention (n=4).Conclusions: The prevalence of early POUR after pelvic reconstructive surgery was 12.85%. Stage of the prolapse was an independent predictor for early postoperative urinary retention.

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Section: Type Of Surgerymentioning

confidence: 64%

Prevalence and clinical predictors for early post-operative urinary retention in patients undergoing pelvic reconstructive surgeries: a prospective cohort study

Vijjeswarapu

Londhe

Gowri

et al. 2018

Int J Reprod Contracept Obstet Gynecol

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“…A prospective randomized study conducted on 90 women by Sekhavat et al . [11] in anterior colporraphy showed that symptomatic UTI was significantly lower in early catheter-removal group; also patients in this group reported significantly less pain and voiding disturbances.…”

Section: Discussionmentioning

confidence: 96%

A prospective randomized controlled comparison of immediate versus late removal of urinary catheter after abdominal hysterectomy

et al. 2014

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Objective:Indwelling transurethral catheter is frequently used after gynecological surgeries in order to prevent urinary retention. There is controversy about the ideal time to remove the catheter after surgery. This randomized controlled study was undertaken to determine whether the immediate removal of urinary catheter after abdominal hysterectomy affects the rate of symptomatic urinary tract infection (UTI), recatheterization, subjective pain perception and febrile morbidity.Study Design:This prospective randomized controlled trial included 70 women undergoing abdominal hysterectomy with or without salpingoophrectomy for benign diseases. Patients were divided into two equal groups on the basis of timing of removal of urinary catheter (Group I — Immediate removal after surgery, Group II — Removal after 24 h and evaluated for benefits versus risks of immediate catheter removal. The results were compared by the Chi-square test.Results:Recatheterization was required in three patients of immediate removal group and none in late removal group (P = 0.07). Higher incidence of positive urine cultures (25.9%) and febrile morbidity (10%) was found in Group II when compared to immediate removal group (8%). Pain perception was not statistically different in both groups (P = 0.567).Conclusions:The early removal of an indwelling catheter after surgery was not associated with an increased rate of febrile events, UTI. Pain perception was also lower in early removal group. Although need of recatheterization was higher in early removal group, but not statistically significant.

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“…Since the invention in the 1930s, Foley's catheter has gained universal usage as demonstrated by the fact that between 16 and 25% of hospitalised patients have an indwelling urethral catheter (IUC) inserted during their hospital stay [1]. The use of a urethral catheter is associated with numerous complications, both infectious and non-infectious [2] all of which present with lower urinary tract symptoms and an associated decrease in the quality of life. Catheter-associated urinary tract infection (CAUTI) has received much clinical significance as the commonest complication of urinary catheterisation, as well as the most common cause of infections in hospitals and other health care facilities [3], especially in post-surgical patients, while iatrogenic trauma from poor technique of placement is also common as a reason for litigation [4].…”

Section: Introductionmentioning

confidence: 99%

Overview of lower urinary tract symptoms post-trauma intensive care unit admission

et al. 2020

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Background: The study was undertaken to assess the incidence of lower urinary tract symptoms (LUTS) after shortterm indwelling urethral catheter (IUC) in polytrauma patients admitted to a level one trauma unit using core lower urinary tract symptom score (CLSS). Data of patients admitted between January 2013 and December 2015 and meeting the study criteria were retrieved from the hospital informatics system. Chart review was done, and patients were subsequently interviewed telephonically. Results: Ninety-four respondents comprising of 81.9% males and 18.1% females out of the 221 eligible patients were contacted. The most common LUTS reported was urethral pain, and 90% had mild to moderate symptoms. No severe LUTS were identified. There was a positive correlation between the duration of IUC and LUTS, but there was no statistically significant association between age and LUTS in our study population. Conclusion: Short-term duration of IUC in the trauma ICU patient is associated with predominantly mild irritative LUTS which are mostly self-limiting and may not need further investigations and management. CLSS was found to be a useful screening tool. Further studies are needed to confirm findings in our study.

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The effect of early removal of indwelling urinary catheter on postoperative urinary complications in anterior colporrhaphy surgery

Cited by 18 publications

References 13 publications

Prevalence and clinical predictors for early post-operative urinary retention in patients undergoing pelvic reconstructive surgeries: a prospective cohort study

Prevalence and clinical predictors for early post-operative urinary retention in patients undergoing pelvic reconstructive surgeries: a prospective cohort study

A prospective randomized controlled comparison of immediate versus late removal of urinary catheter after abdominal hysterectomy

Overview of lower urinary tract symptoms post-trauma intensive care unit admission

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