Postoperative catheterization after anterior colporrhaphy: 2 versus 5 days. A multicentre randomized controlled trial

Mirjam Weemhoff*, Martine M. L. H. Wassen, Laura Korsten, Jan Serroyen, Paul H. N. M. Kampschoer, Frans J. M. E. Roumen

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

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.
Original languageEnglish
Pages (from-to)477-483
JournalInternational Urogynecology Journal
Volume22
Issue number4
DOIs
Publication statusPublished - Apr 2011

Keywords

  • Cystocele
  • Anterior colporrhaphy
  • Indwelling catheterization
  • Urinary retention
  • Temporary catheter replacement
  • Urinary tract infection

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