TY - JOUR
T1 - Postoperative catheterization after anterior colporrhaphy: 2 versus 5 days. A multicentre randomized controlled trial
AU - Weemhoff, Mirjam
AU - Wassen, Martine M. L. H.
AU - Korsten, Laura
AU - Serroyen, Jan
AU - Kampschoer, Paul H. N. M.
AU - Roumen, Frans J. M. E.
PY - 2011/4
Y1 - 2011/4
N2 - The aim of this study was to compare the number of temporary catheter replacements and urinary tract infections after indwelling catheterization for 2 versus 5 days following an anterior colporrhaphy. Two hundred forty-six patients were randomly assigned to 2 or 5 days of indwelling catheterization. Outcome measures were temporary catheter replacements because of post-voiding residual > 200 mL after removal of the indwelling catheter, urinary tract infections, and hospital stay. All patients were analyzed according to the intention to treat principle. Compared to the 5-day protocol group, in the 2-day protocol group more patients needed temporary catheter replacement (9% versus 28%, odds ratio (OR) 4.0, confidence interval (CI) 1.9-8.3, p <0.01), whereas less patients had a urinary tract infection (37% versus 22%, OR 0.5, CI 0.3-0.9, p = 0.02) and median hospital stay was lower. Removal of an indwelling catheter after 2 versus 5 days following anterior colporrhaphy is associated with more temporary catheter replacements, but less urinary tract infections and a shorter hospital stay.
AB - The aim of this study was to compare the number of temporary catheter replacements and urinary tract infections after indwelling catheterization for 2 versus 5 days following an anterior colporrhaphy. Two hundred forty-six patients were randomly assigned to 2 or 5 days of indwelling catheterization. Outcome measures were temporary catheter replacements because of post-voiding residual > 200 mL after removal of the indwelling catheter, urinary tract infections, and hospital stay. All patients were analyzed according to the intention to treat principle. Compared to the 5-day protocol group, in the 2-day protocol group more patients needed temporary catheter replacement (9% versus 28%, odds ratio (OR) 4.0, confidence interval (CI) 1.9-8.3, p <0.01), whereas less patients had a urinary tract infection (37% versus 22%, OR 0.5, CI 0.3-0.9, p = 0.02) and median hospital stay was lower. Removal of an indwelling catheter after 2 versus 5 days following anterior colporrhaphy is associated with more temporary catheter replacements, but less urinary tract infections and a shorter hospital stay.
KW - Cystocele
KW - Anterior colporrhaphy
KW - Indwelling catheterization
KW - Urinary retention
KW - Temporary catheter replacement
KW - Urinary tract infection
U2 - 10.1007/s00192-010-1304-0
DO - 10.1007/s00192-010-1304-0
M3 - Article
C2 - 20960149
SN - 0937-3462
VL - 22
SP - 477
EP - 483
JO - International Urogynecology Journal
JF - International Urogynecology Journal
IS - 4
ER -