Comparison of 1 versus 3 Days Post-operative Catheterization after Anterior Colporrhaphy
Abstract
With attention to the fact that after anterior colporrhaphy surgery and stitches on vaginal mucus, inserting urinary catheter is requested, according to scientific references and in order to prevent from urinary retention, it has been said that the catheter should be inserted for 3 days. But inserting the catheter leads to infections of bladder and pain. So, in the present study, we compared the removal of the catheter 24 hours versus 72 hours after the surgery, considering urinary infections, urinary retention, patient’s ease and hospitalization. Within two groups of 70 patients, which has been assimilated based on basic factors (devided into two groups accidently with excel table) urinary catheter fixed for 1 and 3 days. After that, patients were compared considering urinary retention, urinary infections and the rate of patient satisfaction. Urinary retention was 28.6% in the test group and 22.9% in a controlling group which was not statistically meaningful (P=0.78). Urinary infections were 22.9% in the test group and 34.3% in the controlling group (P=0.42) and the rate of patient’s
satisfactions was 57.1% in the test group and 40% in controlling group (P=0.23). The hospitalization period in the test group and in the control group was 2.91±0.61 and 3.94± 0.59 days respectively with a significant difference (P=0.001). The results showed that short time catheterization is more satisfactory in comparison long catheterizations.
Keywords
Full Text:
PDFReferences
Toz M, Özcan A, Apaydın N, Uyar I, Kocakaya B, Okay G.
Outcomes of vaginal hysterectomy and constricting colporrhaphy
with concurrent levatormyorrhaphy and high
perineorrhaphy in women older than 75 years of age. Dove
Press J. 2015; 10:1009–15.
Nüssler E, Kesmodel US, Löfgren M. Operation for primary
cystocele with anterior colporrhaphy or non-absorbable
mesh: patient-reported outcomes. Int Urogynecol J. 2015;
:359–66.
Swenson CW, Simmen AM, Berger MB, Morgan DM,
Delancey IO. The long and short of it: anterior vaginal wall
length before and after anterior repair. Int Urogynecol J.
; 26:1035–9.
Gleason LG, Richter HE, Varner RE. Pelvic organ prolapse.
In: Berek JS, Novak E, editors. Berek & Novak’s gynecology.
th ed. Philadelphia: Lippincott Williams & Wilkins;
p. 176–208.
Rock JA, Jones HW, III. Telindes operative gynecology.
th ed. Philedaphia: Lippincott Williams & Wilkins; 2015.
p. 928–40.
Brunicardi FC, Anderson DK. Schwartz’ principles of surgery.
th ed. New York: McGrawhill; 2014. 154.
Pant PR. An effective short duration postoperative catheterization
after vaginal hysterectomy and pelvic floor repair.
J Institute Med. 2006; 28(1):33–5.
Chai J, Pun TC. A prospective randomized trial to compare
immediate and 24-hour delayed catheter removal following
total abdominal hysterectomy. Acta Obstet Gynecol Scand.
; 90(5):478–82.
Baldini G, Bagry H, Aprikian A, Caril F. Postoperative urinary
retention. Anesthesiology. 2009; 110:1139–57.
Adly N, Fattah A, Budi I. Urinary catheterization in gynecological
surgery: When should it be removed? Med J Indones.
; 22:183–8.
Kamilya G, Seal SL, Mukherji J, Bhattacharyya SK, Hazra
A. A randomized controlled trial comparing short versus
long-term catheterization after uncomplicated vaginal prolapse
surgery. J Obstet Gynaecol Res. 2010; 36(1):154–8.
Vol 8(S1) | 2016 | www.informaticsjournals.com/index.php/ajprhc Asian Journal of Pharmaceutical Research and Health Care
Comparison of 1 versus 3 Days Post-operative Catheterization after Anterior Colporrhaphy
Chai J, Pun TC. A prospective randomized trial to compare
immediate and 24-hour delayed catheter removal following
total abdominal hysterectomy. Acta Obstet Gynecol Scand.
; 90(5):478–82.
Doppa GJ, Gowder RO, Munaganur N. A rospective study
comparing short term catheterization versus non catheterization
of bladder following vaginalhysterectomy. JEMDS.
; 3:1308–14.
Baldini G, Bagry H, Aprikian A, Caril F, Phil M. Postoperative
urinary retention. Anesthesiology. 2009; 110:1139–57.
Ercole FF, Macieira TGR, Wenceslau L, Martins AR, Campos
C, Chianca T. Evidences on the practice of intermittent/
indwelling urinary catheterization. Rev Latino-Am Enfermagem.
; 21(1):459–68.
Movahed F, Rahmani L. Compairing short term and long
term catheterization after anterior colporrhaphy. Journal of
Hamedan University of Medical Science. 2010; 56:41–4.
Hakvoort RA, Elberink R, Vollebregt A, Ploeg VD, Emanuel
MH. How long should urinary bladder catheterization be
continued after prolapse surgery? A randomized controlled
trial comparing short term versus long term catheterisation
after vaginal prolapse surgery. Br J Obstet Gynecol. 2004;
(8):828–30.
Thakur N, Gurung G, Rana A. A randomized controlled
trial comparing short term versus long term catheterization
after vaginal prolapse surgery. N J Obstet Gynaecol. 2007;
(1):29–34.
Hakvoort R, Thijs SD, Bouwmeester FW, Brookman AM,
Ruhe IM, Vernooij MM, Burger MP, Emanuel MH, Roovers
JP. Comparing clean intermittent catheterisation and transurethral
indwelling catheterisation for incomplete voiding
after vaginal prolapse surgery: a multicenter randomised
trial. BJOG. 2011; 118:1055–60.
Vandersteen A, Detollenaere R, den Boon J, van Eijndhoven
H. One-day versus 3-day suprapubic catheterization
after vaginal prolapse surgery: a prospective randomized
trial. Int Urogynecol J. 2011; 22:563–567.
Weemhoff M, Wassen MMLH, Korsten L, Serroyen J, Paul
HTNK, Frans JMER. Postoperative catheterization after
anterior colporrhaphy: 2 versus 5 days. A multicentre randomized
controlled trial. Int Urogynecol J. 2011; 22:477–83.
Joshi B, Aggarwal N, Chopra S, Taneja N. A prospective
randomized controlled comparison of immediate versus
late removal of urinary catheter after abdominal hysterectomy.
J Mid-life Health. 2014; 5:68–71.
Glavind K, Morup L, Madsen H, Glavind J. A prospective,
randomized, controlled trial comparing 3 hour and 24 hour
postoperative removal of bladder catheter and vaginal pack
following vaginal prolapse surgery. Acta Obstet Gynecol
Scand. 2007; 86:1122–5.
Phipps S, Lim YM, McClinton S, Barry C, Rane A, N’Dow
JMO. Short term urinary catheter policis following urogenital
surgery in adults. Cochrane Database of Syst Rev. 2006;
:CD004374.
Eftekhar M, Rahmani E, Pourmasum S. Evaluation of clinical
factors influencing pregnancy rate in frozen embryo
transfer. Iran J of Reprod Med. 2014; 12:513–8.
Eftekhar M, Firouzabadi RD, Karimi H, Rahmani E. Outcome
of cryopreserved-thawed embryo transfer in the
GnRH agonist versus antagonist protocol. Iran J of Reprod
Med. 2012; 10 (4): 297–302.
Eftekhar M, Khalili MA Rahmani E. The efficacy of recombinant
versus urinary HCG in ART outcome. Iran J Reprod
Med. 2012; 10:543–8.
Tajbakhsh S, et al. Identification of Streptococcus agalactiae
by fluorescent in situ hybridization compared to culturing
and the determination of prevalence of Streptococcus agalactiae
colonization among pregnant women in Bushehr,
Iran. BMC Infect Dis. 2013; 13(1): 420.
Refbacks
- There are currently no refbacks.
https://creativecommons.org/licenses/by-nc-sa/4.0/
Listed as Green Publisher