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Updated: Apr 25, 2026
Transcorporal Artificial Urinary Sphincter Cuff Placement in a Case Requiring Revision for Urethral Atrophy
Published on: June 16, 2022
A prospective randomized clinical trial comparing immediate versus delayed removal of urinary catheter following
Akmal El-Mazny1, Mohamed El-Sharkawy1, Amr Hassan1
1Department of Obstetrics and Gynecology, Faculty of Medicine, Cairo University, Egypt.
Objective:
To compare immediate and 12h postoperative removal of urinary catheter after elective cesarean section.
Study Design:
In a prospective clinical trial at a university teaching hospital, 300 eligible women admitted for primary or repeat elective cesarean section were randomized into two equal groups. In group A, the catheter was removed immediately after the procedure; whereas in group B, the catheter was removed 12h postoperatively.
Results:
The incidence of postoperative significant bacteruria (p=0.020), dysuria (p=0.030), burning on micturition (p=0.016), urinary frequency (p=0.031), and urgency (p=0.011) were significantly lower in group A compared with group B. The mean postoperative ambulation time (p<0.001), time till the first voiding (p<0.001), and length of hospital stay (p<0.001) were also significantly shorter in group A. There were no significant differences between the two groups in the incidence of urinary retention necessitating recatheterization (p=0.371).
Conclusion:
Immediate removal of urinary catheter after elective cesarean section is associated with lower risk of urinary infection and earlier postoperative ambulation.
