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Comparison of 1 and 3 days' transurethral Foley catheterization after retropubic incontinence surgery

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Abstract

This prospective study was done to see if reducing transurethral Foley catheterization from 3 days to 1 would lead to fewer urinary tract infections without an increase in voiding problems. Ninety-one women undergoing retropubic surgery for stress urinary incontinence (Burch or Marshall-Marchetti-Krantz) were randomized to either 1 or 3 days' catheterization. Antibiotics were not used. Infection was diagnosed in 9 (20.0%) patients in the 1-day group and in 16 (34.8%) in the 3-day group. Delayed voiding occurred in 13 (28.9%) and 10 (21.7%) patients, respectively, and 5 (11.1%) and 3 (6.5%), respectively, received a new catheter. The differences do not reach statistical significance. Therefore, catheter time may safely be reduced to 1 day. This may lead to fewer infections but also somewhat more voiding problems. If a transurethral catheter is to be used, on balance the two regimens are equivalent.

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References

  1. Hilton P. Bladder drainage: a survey of practices among gynaecologists in the British Isles.Br J Obstet Gynaecol 1988;95:1178–1189

    PubMed  Google Scholar 

  2. Schiøtz HA. Routines for bladder drainage after gynaecological operations in Norway.Tidsskr Nor L≸geforen 1991;111:841–843 (in Norwegian, English abstract)

    Google Scholar 

  3. Schiøtz HA. Comparison of 1 and 3 days' transurethral Foley catheterization after vaginal plastic surgery.Int Urogynecol J 1965;6:158–161

    Google Scholar 

  4. Krantz KE. Marshall-Marchetti-Krantz procedure. In: Masterson BJ, ed. Manual of gynecologic surgery. New York: Springer Verlag, 1979:232–238

    Google Scholar 

  5. McGuire E. Retropubic operative procedures for stress urinary incontinence. In: Raz, S. ed. Female urology. Philadelphia: WB Saunders Company 1983:244

    Google Scholar 

  6. Thompson JD. Selected operations for genuine stress incontinence. In: Thompson JD, Rock JA, eds. Te Linde's Operative gynecology. Philadelphia: JB Lippincott Company, 1992:918

    Google Scholar 

  7. Tanagho EA. Colpocystourethropexy: the way we do it.J Urol 1976;116:751–753

    PubMed  Google Scholar 

  8. Richardson AC, Edmonds PB, Williams NL. Treatment of stress urinary incontinence due to paravaginal fascial defect.Obstet Gynecol 1981;57:357–362

    PubMed  Google Scholar 

  9. Tammela T, Kontturi M, Lukkarinen O. Postoperative urinary retention. I. Incidence and predisposing factors.Scand J Urol Nephrol 1986;20:197–201

    PubMed  Google Scholar 

  10. Kapoor R, Kondo A, Narushima M, Saito M. Recovery of bladder function following surgery for stress incontinence: is it delayed in elderly patients?.Int Urogynecol J 1993;4:266–270

    Google Scholar 

  11. Green DF, McGuire EJ, Lytton B. A comparison of endoscopic suspension of the vesical neck versus anterior urethropexy for the treatment of stress incontinence.J Urol 1986.;136:1205–1207

    PubMed  Google Scholar 

  12. Bergman A, Matthews L, Ballard CA, Roy S. Suprapubic versus transurethral bladder drainage after surgery for stress urinary incontinence.Obstet Gynecol 1987;69:546–549

    PubMed  Google Scholar 

  13. Schiøtz HA. Voiding after gynecologic surgery: experience with 24-hour Foley catheterization.Int Urogynecol J 1994;5:15–18

    Google Scholar 

  14. Bhatia NN, Bergman A. Urodynamic predictability of voiding following incontinence surgery.Obstet Gynecol 1984;63:85–91

    PubMed  Google Scholar 

  15. Kiiholma P, Mäkinen J, Chancellor MB, Pitkänen Y, Hirvonen T. Modified Burch colposuspension for stress urinary incontinence in females.Surg Gynecol Obstet 1993;176:111–115

    PubMed  Google Scholar 

  16. Andersen JT, Heisterberg L, Hebjørn S et al. Suprapubic versus transurethral bladder drainage after colposuspension/vaginal repair.Acta Obstet Gynecol Scand 1985;64:139–143

    PubMed  Google Scholar 

  17. Schiøtz HA. Urinary tract infections and bacteriuria after gynecological surgery; experience with 24-hour Foley catheterization.Int Urogynecol J 1994;5:345–348

    Google Scholar 

  18. Schiøtz HA, Malme PA, Tanbo TG. Urinary tract infections and asymptomatic bacteriuria after vaginal plastic surgery.Acta Obstet Gynecol Scand 1989;68:453–455

    PubMed  Google Scholar 

  19. Schiøtz HA. Asymptomatic bacteriuria after gynecological laparotomy.J Obstet Gynecol 1966; in press

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Vestfold Central Hospital, N-3116, Tønsberg, Norway

    H. A. Schiøtz

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  1. H. A. Schiøtz
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Editorial Comment: The investigators present a simple and clearly defined study on postoperative voiding management, specifically comparing 1 and 3 day's transurethral Foley catheterization after retropubic surgery. The study is limited by insufficient numbers and the possibility of a type II error in comparing such a small difference in length of Foley use (1 versus 3 days), in terms of the incidence of urinary tract infection or voiding dysfunction. In spite of this limitation, the large number of surgeons utilizing transurethral Foley catheterization following retropubic procedures should find this study of interest, as should those who practise in a managed care environment. Removal of the Foley catheter on postoperative day 1 appears to be a viable alternative, as long as adequate bladder emptying is confirmed.

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Schiøtz, H.A. Comparison of 1 and 3 days' transurethral Foley catheterization after retropubic incontinence surgery. Int Urogynecol J 7, 98–101 (1996). https://doi.org/10.1007/BF01902381

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  • DOI: https://doi.org/10.1007/BF01902381

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