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Cesarean section without urethral catheterization: a randomized control trial.

S Acharya1, D K Uprety, H P Pokharel

  • 1Department of Obstetrics and Gynecology, College of Medical Sciences, Bharatpur, Nepal. saritaacharya142@yahoo.com

Kathmandu University Medical Journal (KUMJ)
|November 8, 2012
PubMed
Summary
This summary is machine-generated.

Cesarean sections can be safely performed without urethral catheterization, reducing urinary tract infections and discomfort. This approach also leads to shorter hospital stays for patients undergoing cesarean delivery.

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Area of Science:

  • Obstetrics and Gynecology
  • Surgical Procedures
  • Patient Safety

Background:

  • Urethral catheterization is a standard procedure during cesarean sections.
  • Routine catheterization is linked to increased urinary tract infections, patient discomfort, delayed mobility, and prolonged hospital stays.

Purpose of the Study:

  • To evaluate the feasibility and safety of performing cesarean sections without the need for urethral catheterization.
  • To compare outcomes between catheterized and uncatheterized patients undergoing cesarean delivery.

Main Methods:

  • A prospective, randomized controlled trial involving 150 patients undergoing cesarean section.
  • Patients were divided into two groups: 75 with urethral catheterization and 75 without.

Main Results:

  • The uncatheterized group experienced significantly less discomfort during first void (P < 0.001).
  • Urinary tract infection incidence and symptoms were substantially lower in the uncatheterized group (P < 0.001).
  • Patients without catheters had shorter hospital stays (P < 0.05), with no increase in bladder injury, surgery duration, or ambulation time.

Conclusions:

  • Cesarean sections can be safely performed without urethral catheterization.
  • Omitting routine catheterization reduces patient morbidity, including urinary tract infections and discomfort, while shortening hospital stays.