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Updated: Oct 26, 2025
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Published on: April 19, 2024
The feasibility and advantages of immediate removal of urinary catheter after lobectomy: A prospective randomized
Lei Zhang1, Xueying Yang1, Ye Tian1
1Department of Thoracic Surgery, The Fourth Affiliated Hospital of China Medical University, Shenyang, China.
Aim:
This study aims to evaluate the feasibility and advantages of immediate urinary catheter removal compared with prolonged indwelling catheterization in lung cancer lobectomy.
Design:
This study was designed as a prospective, single-centre, randomized and open-label clinical study.
Methods:
People with lung cancer undergoing lobectomy/pneumonectomy were recruited and randomly allocated to two groups. One group had their urinary catheter removed immediately while the other group had it removed 48 hr after surgery.
Results:
No significant difference in the incidence of postoperative urinary retention (POUR) was observed between the two groups. However, the incidence of postoperative catheter-associated urinary tract infection (CAUTI) in the immediate removal group (6.7%) was lower than the control group (17.2%) (p = .030). Furthermore, the incidence of catheter-associated emergence agitation (CAEA) in the control group (25.3%) was higher than the immediate removal group (8.9%) (p = .007). The average length of hospital stay of the immediate removal group [6.51(4-11) days] was shorter than the control group [7.20(5-12) days] (p = .002). Immediate removal of urinary catheter appeared to have fewer complications and shorter hospital stay than delayed removal.
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