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Randomized Controlled Trial
. 2017 Sep 11;17(1):78.
doi: 10.1186/s12905-017-0431-x.

Study comparing 3 hour and 24 hour post-operative removal of bladder catheter and vaginal pack following vaginal surgery: a randomised controlled trial

Priya Rajan  1 , S Soundara Raghavan  2 , Deepak Sharma  3
Affiliations
Randomized Controlled Trial

Study comparing 3 hour and 24 hour post-operative removal of bladder catheter and vaginal pack following vaginal surgery: a randomised controlled trial

Priya Rajan et al. BMC Womens Health. .

Abstract

Background: Traditional practice after vaginal hysterectomy was to keep the vaginal pack and urinary catheter for 24 hours post operatively. But there were studies that prolonged cathterisation was associated with urinary infection. So this study was conducted to compare the post operative outcome when the urinary catheter and vaginal pack were removed after 3 hours and after 24 hours after surgery.

Methods: The study was done in the Department of Obstetrics and Gynecology, in a tertiary teaching institute of South India from September 2008 to March 2010. It was a randomised controlled trial involving 200 women undergoing vaginal surgery, who were randomly assigned to 2 groups - catheter and vaginal pack were removed either in 3 h in study group or were removed in 24 h in control group. The outcome of the study were vaginal bleeding, urinary retention, febrile morbidity, and urinary infection.

Results: There was no significant difference between the study and control groups with respect to vaginal bleeding (0 and 1%, p = 1), urinary retention (9 and 4%, p = 0.15), febrile morbidity (7 and 4%, p = 0.35), and urinary infection (26% in each group, p = 1.0).

Conclusion: Keeping the urinary catheter and vaginal pack for 24 h following vaginal surgery does not offer any additional benefit against removing them after 3 h.

Keywords: Removal after 24 h; vaginal surgery; Removal after 3 h; Urinary catheter; Vaginal pack.

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Conflict of interest statement

Ethics approval and consent to participate

The study was approved by institutional research board (IRB) of the institute [Jawaharlal Institute of Post-graduate Medical Education & Research (JIPMER), Puducherry, India (EC Ref # 5_ 2008)] and written informed consent was taken from the parents for participation in the study.

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interest.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

References

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