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Meta-Analysis
. 2020 Jan;99(2):e18710.
doi: 10.1097/MD.0000000000018710.

The timing of urinary catheter removal after gynecologic surgery: A meta-analysis of randomized controlled trials

Hui Huang  1 , Li Dong  2 , Lan Gu  3
Affiliations
Meta-Analysis

The timing of urinary catheter removal after gynecologic surgery: A meta-analysis of randomized controlled trials

Hui Huang et al. Medicine (Baltimore). 2020 Jan.

Abstract

The present study aimed to assess the effect of removing an indwelling urinary catheter at different times on urinary retention and urinary infection in patients undergoing gynecologic surgery.Electronic databases including PubMed, EMbase, the Cochrane Central Register of Controlled Trials, and Ovid from inception to June 2018 were searched. Relevant randomized controlled trials (RCTs) of removal the indwelling urinary catheter in different time were included.Eight RCTs were included. Data were analyzed by RevMan 5.3 version. There was significant difference in urinary retention (relative risk [RR] 2.46, 95% confidence intervals [CIs] 1.10-5.53), P = .03) between the ≤6 hours and >6 hours indwelling urinary catheter removal groups, while no significant differences were found in the gynecologic surgery excluded the vaginal surgery group and vaginal surgery group. When compared with >6 hours indwelling urinary catheter removal group, the incidence of urinary infection was significantly reduced at the ≤6 hours removal group (RR = 0.66, 95% CI 0.48-0.89, P = .007). The urinary catheter removal time at ≤6 hours also significantly reduced the incidence of urinary retention (RR = 5.06, 95%CI 1.74-14.69, P = .003), and did not statistically increase the incidence of urinary infection (RR = 0.30, 95%CI 0.08 to 1.20, P = .09), compared with immediate urinary catheter removal after surgery.Removal time of the urinary catheter at ≤6 hours postoperatively seems to be more beneficial than immediate or >6 hours for patients undergoing gynecologic surgery which excluded the vaginal surgery.

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Conflict of interest statement

The authors have no conflicts of interest to disclose.

Figures

Figure 1
Figure 1
Flow chart of search results.
Figure 2
Figure 2
Risk of bias graph of included studies.
Figure 3
Figure 3
Risk of bias summary of included studies.
Figure 4
Figure 4
Comparison of the incidences of the urinary retention between catheter extubation time ≤6 h group and >6 h group after surgery.
Figure 5
Figure 5
Comparison of the incidences of the urinary tract infection between catheter extubation time ≤6 h group and >6 h group after surgery.
Figure 6
Figure 6
Comparison of the incidences of the urinary retention between catheter extubation time ≤6 h group and immediate extubation after surgery.
Figure 7
Figure 7
Comparison of the incidences of urinary tract infection between catheter extubation time ≤6 h group and immediate extubation after surgery.
See this image and copyright information in PMC

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References

    1. Rajan P, Raghavan SS, Sharma D. Study comparing 3 hour and 24 hour post-operative removal of bladder catheter and vaginal pack following vaginal surgery: a randomised controlled trial. BMC Womens Health 2017;17:78. - PMC - PubMed
    1. Ouladsahebmadarek E, Sayyah-MelIi M, Jafari-Shobeiri M. A randomized clinical trial to compare immediate versus delayed removal of foley catheter following abdominal hysterectomy and laparotomy. Pak J Med Sci Q 2012;28:380.
    1. Cormio L, Mancini V, Liuzzi G, et al. Cystocele repair by autologous rectus fascia graft: the pubovaginal cystocele sling. J Urol 2015;194:721–7. - PubMed
    1. Cormio L, Mancini V, Liuzzi G, et al. Surgical management of female pelvic organ prolapse with and without urinary incontinence: a single center experience. Medicine 2017;96:39. - PMC - PubMed
    1. Nicolle LE. Catheter associated urinary tract infections. Antimicrob Resist Infect Control 2014;3:23. - PMC - PubMed

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