A prospective randomized controlled comparison of immediate versus late removal of urinary catheter after abdominal hysterectomy
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 remo...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2014-01-01
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| Series: | Journal of Mid-Life Health |
| Subjects: | |
| Online Access: | http://www.jmidlifehealth.org/article.asp?issn=0976-7800;year=2014;volume=5;issue=2;spage=68;epage=71;aulast=Joshi |
| _version_ | 1818254436504436736 |
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| author | Bharti Joshi Neelam Aggarwal Seema Chopra Neelam Taneja |
| author_facet | Bharti Joshi Neelam Aggarwal Seema Chopra Neelam Taneja |
| author_sort | Bharti Joshi |
| collection | DOAJ |
| description | 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.
StudyDesign: 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. |
| first_indexed | 2024-12-12T16:55:56Z |
| format | Article |
| id | doaj.art-1fc164d387314a329d43ede15c9f98fd |
| institution | Directory Open Access Journal |
| issn | 0976-7800 0976-7819 |
| language | English |
| last_indexed | 2024-12-12T16:55:56Z |
| publishDate | 2014-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Mid-Life Health |
| spelling | doaj.art-1fc164d387314a329d43ede15c9f98fd2022-12-22T00:18:14ZengWolters Kluwer Medknow PublicationsJournal of Mid-Life Health0976-78000976-78192014-01-0152687110.4103/0976-7800.133990A prospective randomized controlled comparison of immediate versus late removal of urinary catheter after abdominal hysterectomyBharti JoshiNeelam AggarwalSeema ChopraNeelam TanejaObjective: 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. StudyDesign: 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.http://www.jmidlifehealth.org/article.asp?issn=0976-7800;year=2014;volume=5;issue=2;spage=68;epage=71;aulast=JoshiCatheterizationfebrile morbidityindwelling bladder catheterpost abdominal hysterectomyurinary tract infections |
| spellingShingle | Bharti Joshi Neelam Aggarwal Seema Chopra Neelam Taneja A prospective randomized controlled comparison of immediate versus late removal of urinary catheter after abdominal hysterectomy Journal of Mid-Life Health Catheterization febrile morbidity indwelling bladder catheter post abdominal hysterectomy urinary tract infections |
| title | A prospective randomized controlled comparison of immediate versus late removal of urinary catheter after abdominal hysterectomy |
| title_full | A prospective randomized controlled comparison of immediate versus late removal of urinary catheter after abdominal hysterectomy |
| title_fullStr | A prospective randomized controlled comparison of immediate versus late removal of urinary catheter after abdominal hysterectomy |
| title_full_unstemmed | A prospective randomized controlled comparison of immediate versus late removal of urinary catheter after abdominal hysterectomy |
| title_short | A prospective randomized controlled comparison of immediate versus late removal of urinary catheter after abdominal hysterectomy |
| title_sort | prospective randomized controlled comparison of immediate versus late removal of urinary catheter after abdominal hysterectomy |
| topic | Catheterization febrile morbidity indwelling bladder catheter post abdominal hysterectomy urinary tract infections |
| url | http://www.jmidlifehealth.org/article.asp?issn=0976-7800;year=2014;volume=5;issue=2;spage=68;epage=71;aulast=Joshi |
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