What Time of Day Should a Urethral Catheter be Removed?

Wyman, A

doi:10.1177/014107688708001210

Cited by 17 publications

(31 citation statements)

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“…We are able to confi rm that there was no recatheterization at an unsociable hour when the catheter was removed late at night [2,5] ; however, this was necessary with 2 patients who had a ROC performed at 06.00 h.…”

Section: Discussionmentioning

confidence: 76%

Removal of Catheter at Midnight versus Early Morning: The Patients’ Perspective

Ganta

Chakravarti²,

Somani³

et al. 2005

Urol Int

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Background: With an increasing role of the patient as a partner in making a combined decision in care plan goals, it is important to identify the patient’s perspective of the experience of removal of catheter (ROC). Methods: A non-consecutive prospective randomized study was performed in 84 patients who underwent a transurethral resection of the prostate to determine the impact of midnight versus early-morning ROC on sleep deprivation, over all discomfort to the patient. Results: There was no difference in the patient experience in both groups. We found a reduced frequency during the first 6 h of ROC at midnight. However, there was an increased incidence of sleep disturbances in this group. This may in part be due to an anxiety of urge incontinence and may be allayed by appropriate counselling. There was no delay in discharge of the patients in both groups. Conclusion: The patients must, therefore, be given the choice of ROC either at midnight or early morning, as the advantages of a reduced frequency must be correlated with an increased incidence of sleep disturbances.

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Section: Discussionmentioning

confidence: 76%

Removal of Catheter at Midnight versus Early Morning: The Patients’ Perspective

Ganta

Chakravarti²,

Somani³

et al. 2005

Urol Int

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“…However, its implementation was relatively custom-based, hospital policy based and personal preference-dependent, therefore the duration varies markedly. [1][2][3] Routine catheterization up to three days was common after gynaecological surgery. Prolonged catheterization after 24 hrs has minimal benefits in uncomplicated surgery.…”

Section: Introductionmentioning

confidence: 99%

Postoperative Catheter induced bacteriuria in obstetrics and gynaecological cases

Rupakala

Lasune

Prakash

et al. 2017

Int J Reprod Contracept Obstet Gynecol

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Background: Urinary tract infection is one of most common nosocomial infection and prolonged bladder catheterization is frequent cause. These infections increase hospital stay of patients, morbidity and financial burden. This study was performed to determine rate of catheter induce bacteriuria, most common organisms isolated, rate of bacteriuria associated with duration of catheterization and type of surgery (Elective or Emergency).Methods: This is prospective observational study done over a period of one year from 2015 January to 2016 January and 599 patients enrolled. The variables studied are rate of catheter induce bacteriuria, most common organisms isolated, rate of bacteriuria associated with duration of catheterization and type of surgery (Elective or Emergency).Results: Rate of catheter induce bacteriuria was 34.5%, most common organisms isolated were E. coli, Enteroccocus, MR CONS, Candida albicans, Klebsiella, streptococci. Bacteriuria was 10.5% when duration of catheterization was less than 12 hrs and 73.9% when duration of catheterization was more than 36 hrs. Also, bacteriuria was more in emergency cases.Conclusions: It is better to avoid catheterization, duration of catheterization should be reduced so that it reduces catheter induced bacteriuria and associated morbidity, prolonged hospital stay and financial burden.

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“…3 Urinary retention has also been reported as a common problem following the removal of IUCs 3 and can occur from 7 to 48 h after removal. 4 Although research has focused on the type and maintenance of urinary catheters and techniques for insertion, limited attention has been given to the procedures for their removal, in particular whether the time of day the IUC is removed influences patient outcomes. The insertion, removal and management of IUCs is often undertaken by nurses; however, the decision to remove the IUC frequently rests with the surgeon.…”

Section: Introduction Backgroundmentioning

confidence: 99%

“…7 Researchers have also indicated that the time of removal per se does not predispose the patient to urinary retention. 4 Other suggested benefits of IUC removal in the early morning include allowing the patient to rest through the night and adjust to their normal voiding pattern during the day. These reasons have also been proposed to support removal of the IUCs at midnight as people tend to void on waking in the morning.…”

Section: Introduction Backgroundmentioning

confidence: 99%

Comparison of late night and early morning removal of short-term urethral catheters

Fernandez¹,

Griffiths²,

Murie³

2003

JBI Library of Systematic Reviews

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Executive summaryBackground Indwelling urethral catheters (IUCs) are inserted in approximately 15-25% of all hospitalised patients mainly to assist clinicians to accurately monitor urine output during acute illness or following surgery, to treat urinary retention and for investigative purposes. However, this procedure is associated with significant morbidity. Although research has focused on the type and maintenance of urinary catheters and techniques for insertion, limited attention has been given to the procedures for their removal, in particular whether the time of day the IUC is removed influences patient outcomes. There is no consensus among clinicians about the optimal time for removal of IUCs, rather practices tend to be based on personal preference and tradition rather than on evidence from research.Objectives The objective of this review was to determine whether the timing of the removal of IUCs influences patient outcomes. The primary outcomes of interest included duration to and volume of first void; length of hospitalisation; number of patients developing urinary retention and number requiring recatheterisation. Secondary outcome measures included patient satisfaction and the percentage of IUCs removed according to the scheduled time for removal. ConclusionsBased on the limited available evidence, this review suggests a benefit in terms of patient outcomes and reduction in the length of hospitalisation following midnight removal of the IUCs. Further trials should be undertaken in wider settings and on specific groups of patients to enhance generalisability. The trials should also examine the efficacy of midnight or early morning IUC removal compared to removal at any time of the day.

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What Time of Day Should a Urethral Catheter be Removed?

Abstract: Table 1. Postoperative urinary retention and patient presentation for surgery Postoperative course 3 (3.7%) 82 4 (19.0%).

Cited by 17 publications

References 0 publications

Removal of Catheter at Midnight versus Early Morning: The Patients’ Perspective

Removal of Catheter at Midnight versus Early Morning: The Patients’ Perspective

Postoperative Catheter induced bacteriuria in obstetrics and gynaecological cases

Comparison of late night and early morning removal of short-term urethral catheters

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