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Is bladder catheterization really necessary before laparoscopy?

M S Akhtar, D M Beere, J T Wright

    British Journal of Obstetrics and Gynaecology
    |November 1, 1985
    PubMed
    Summary
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    Routine bladder catheterization in laparoscopy patients may increase urinary tract infection risk. Avoiding catheterization appears safer, reducing infection rates significantly. Further investigation is recommended for catheterized patients.

    Area of Science:

    • Urology
    • Surgical Infections

    Background:

    • Urinary tract infections (UTIs) are a common complication following surgical procedures.
    • The necessity and impact of routine bladder catheterization during laparoscopic surgery on postoperative UTI rates remain debated.

    Purpose of the Study:

    • To compare the incidence of postoperative urinary tract infections in patients undergoing laparoscopy with and without a policy of routine bladder catheterization.

    Main Methods:

    • A randomized prospective controlled trial was conducted.
    • Patients undergoing laparoscopy were allocated to either a routine catheterization group or a no-catheterization group.
    • Urine samples were collected 6 days post-operation to assess for infection.

    Main Results:

    Related Experiment Videos

  • The catheterization group had a 21% infection rate (9/42 patients).
  • The no-catheterization group had a 12% infection rate (5/42 patients).
  • Excluding those catheterized against protocol in the no-catheter group, the infection rate for non-catheterized patients was 12% (4/34). The difference was statistically significant.

    • Conclusions:

    • A routine policy of bladder catheterization for patients undergoing laparoscopy is questionable.
    • Non-catheterization appears to be associated with a lower risk of urinary tract infections.
    • All patients who undergo catheterization should be investigated for postoperative urinary tract infections.