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Catheter management programs and postoperative urinary dysfunction
Author(s) -
Oberst Marilyn T.,
Graham Dennis,
Geller Nancy L.,
Stearns Maus W.,
Tiernan Eileen
Publication year - 1981
Publication title -
research in nursing and health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.836
H-Index - 85
eISSN - 1098-240X
pISSN - 0160-6891
DOI - 10.1002/nur.4770040103
Subject(s) - medicine , abdominoperineal resection , urinary catheter , catheter , urinary system , surgery , etiology , urinary retention , urinary bladder , urology , colorectal cancer , cancer
This study was designed to compare the effectiveness of two approaches to urinary catheter management in controlling postoperative urinary dysfunction in 110 patients following abdominoperineal resection or low anterior bowel resection. Patients, stratified by sex and surgical procedure, were randomly assigned to either straight gravity drainage or a 6‐day progressive catheter clamping program. The bladder training program following abdominoperineal resection reduced significantly the urinary dysfunction rate in women but not in men. Marked differences in dysfunction rates were related to type of surgery, gender, and surgeon. Etiology of postoperative voiding dysfunction in various groups is discussed.