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Related Experiment Videos

Suprapubic bladder drainage after extraperitoneal cystotomy.

M Karram1, L Partoll, J Miklos

  • 1Division of Urogynecology and Reconstructive Pelvic Surgery, Good Samaritan Hospital, University of Cincinnati School of Medicine, Cincinnati, Ohio 45220, USA. mickey-karram@trihealth.com

Obstetrics and Gynecology
|July 26, 2000
PubMed
Summary

Discontinuing continuous bladder drainage within 24 hours after extraperitoneal cystotomy is safe for women undergoing pelvic surgery. This approach allows for early voiding trials and catheter removal without complications.

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Area of Science:

  • Urology
  • Gynecologic Surgery

Background:

  • Extraperitoneal cystotomy is sometimes performed during pelvic reconstructive surgery.
  • Continuous bladder drainage is often maintained postoperatively.

Purpose of the Study:

  • To evaluate the safety and efficacy of early cessation of continuous bladder drainage after extraperitoneal cystotomy.

Main Methods:

  • Retrospective study of 84 women undergoing pelvic surgery with intentional extraperitoneal cystotomy.
  • Suprapubic catheters were placed intraoperatively.
  • Continuous drainage was stopped within 24 hours for voiding trials.

Main Results:

  • Suprapubic catheters were removed after an average of 4.1 days.
  • No immediate or long-term complications were observed during a minimum 3-month follow-up.

Related Experiment Videos

  • Bladder volumes at catheter clamping were adequate to challenge cystotomy integrity.

    • Conclusions:

    • Continuous bladder drainage is not necessary for more than 24 hours after extraperitoneal cystotomy.
    • This finding supports more liberal use of intraoperative cystotomies for surgical assessment.
    • Early catheter removal can be safely implemented in selected patients.