A prospective randomized trial to compare immediate and 24-hour delayed catheter removal following total abdominal hysterectomy.

Abstract:

OBJECTIVE:To assess whether early or immediate removal of a 12F in-dwelling Foley catheter after total abdominal hysterectomy affects the level of subjective pain assessment postoperatively. DESIGN:Randomized controlled trial. SETTING:University Hospital. POPULATION:Seventy women underwent total abdominal hysterectomies for various benign gynecological diseases. METHODS:Women were randomized to have the urinary catheter removed in the operating room after the surgical procedure or to have it removed on postoperative day 1. MAIN OUTCOME MEASURES:The primary outcome was patients' pain assessment and the secondary outcomes were rate of re-catheterization and symptomatic urinary tract infection. RESULTS:There was no difference in the pain assessment between the two groups. A significantly higher number of urinary retention episodes requiring re-catheterization were found in the immediate removal group compared with the delayed removal group (20 vs. 0%; p= 0.011). The incidence of symptomatic urinary tract infection did not differ between the two groups. CONCLUSIONS:There are pros and cons regarding the policy of one-day in-dwelling catheterization compared to immediate catheter removal.

authors

Chai J,Pun TC

doi

10.1111/j.1600-0412.2011.01104.x

subject

Has Abstract

pub_date

2011-05-01 00:00:00

pages

478-82

issue

5

eissn

0001-6349

issn

1600-0412

journal_volume

90

pub_type

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