Open AccessA prospective, randomized trial comparing immediate versus delayed catheter removal following hysterectomy
Author(s) -
Alessandri Franco,
Mistrangelo Emanuela,
Lijoi Davide,
Ferrero Simone,
Ragni Nicola
Publication year - 2006
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.1080/00016340600606976
Subject(s) - medicine , catheter , group b , urinary system , surgery , hysterectomy , randomized controlled trial , prospective cohort study , anesthesia
Background. A prospective, randomized study was used to assess whether the immediate removal of an in‐dwelling catheter after hysterectomy affects the rate of recatheterization, symptomatic urinary tract infections, time of ambulation, and hospital stay. Methods. We randomly assigned 96 women who underwent hysterectomy [44 vaginal hysterectomy (VH), 37 abdominal hysterectomy, and 15 laparoscopic assisted VH) to three groups. The in‐dwelling catheter was removed immediately (group A), at 6 hr (group B), or at 12 hr (group C) after the operation. The association between clinical variables and the length of catheterization was assessed by Chi‐square analysis. Results. Recatheterization occurred in six patients (18.8%) of group A, all after VH under spinal anesthesia. All patients in the groups B and C could spontaneously void the bladder after catheter removal. Symptomatic urinary tract infection occurred in one patient in group A, compared with four patients in group B, and five in group C. The mean time to ambulation was 4.3 hr in group A, 6.5 hr in group B, and 9.4 hr in group C. Patients with immediate removal of urinary catheter had a shorter hospital stay. Conclusions. There could be an association between necessity of recatheterization and the type of surgery (VH) or the type of anesthesia (spinal). Despite recatheterization rate, early removal of in‐dwelling catheters immediately after uncomplicated hysterectomy seems to decrease first ambulation time and hospital stay.