, Volume 20, Issue 7, pp 813-818,
Open Access This content is freely available online to anyone, anywhere at any time.
Date: 10 Mar 2009

A nationwide survey to measure practice variation of catheterisation management in patients undergoing vaginal prolapse surgery

Abstract

Introduction and hypothesis

Urinary catheterisation following vaginal prolapse surgery causes inconvenience for patients, risk of urinary tract infections and potentially longer hospitalisation. Possibly, practice variation exists concerning diagnosis and management of abnormal postvoid residual (PVR) volume implying suboptimal treatment for certain subgroups.

Methods

Nationwide questionnaire-based survey.

Results

Post-operatively, 77% performed transurethral indwelling catheterisation, 12% suprapubic catheterisation and 11% intermittent catheterisation. Catheterisation was applied 3 days (1–7 days) following anterior repair and 1 day (1–3 days) following all other procedures. The median cut-off point for abnormal PVR was 150 mL (range 50–250 mL). Treatment of abnormal PVR consisted mostly of prolonging transurethral indwelling catheterisation for 2 days (range 1–5 days; 57%), 29% by intermittent and 12% by suprapubic catheterisation. Antibiotics were administered by 21% either routinely or based on symptoms only.

Conclusions

Due to insufficient evidence and suboptimal implementation of available evidence, practice variation in catheterisation regimens is high.