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Published on: October 18, 2024
A prospective randomized trial to compare immediate and 24-hour delayed catheter removal following total abdominal
1Department of Obstetrics and Gynecology, University of Hong Kong, Hong Kong Special Administrative Region, China. jchai@hkucc.hku.hk
Objective:
To assess whether early or immediate removal of a 12F in-dwelling Foley catheter after total abdominal hysterectomy affects the level of subjective pain assessment postoperatively.
Design:
Randomized controlled trial.
Setting:
University Hospital.
Population:
Seventy women underwent total abdominal hysterectomies for various benign gynecological diseases.
Methods:
Women were randomized to have the urinary catheter removed in the operating room after the surgical procedure or to have it removed on postoperative day 1.
Main Outcome Measures:
The primary outcome was patients' pain assessment and the secondary outcomes were rate of re-catheterization and symptomatic urinary tract infection.
Results:
There was no difference in the pain assessment between the two groups. A significantly higher number of urinary retention episodes requiring re-catheterization were found in the immediate removal group compared with the delayed removal group (20 vs. 0%; p= 0.011). The incidence of symptomatic urinary tract infection did not differ between the two groups.
Conclusions:
There are pros and cons regarding the policy of one-day in-dwelling catheterization compared to immediate catheter removal.
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