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Randomized Controlled Trial
. 2011 Apr;22(4):477-83.
doi: 10.1007/s00192-010-1304-0. Epub 2010 Oct 20.

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

Mirjam Weemhoff  1 , Martine M L H Wassen, Laura Korsten, Jan Serroyen, Paul H N M Kampschöer, Frans J M E Roumen
Affiliations
Randomized Controlled Trial

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

Mirjam Weemhoff et al. Int Urogynecol J. 2011 Apr.

Abstract

Introduction and hypothesis: 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.

Methods: 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.

Results: 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.

Conclusions: 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.

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Figures

Fig. 1
Fig. 1
Patient flow
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