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Cost Analysis of Bladder Catheterization After Pelvic Floor Surgery
Anouk Benseler1, Zi Ying Zhao2, Muhammad Harris Sheikh2
1From the Department of Obstetrics and Gynecology.
Urogynecology (Philadelphia, Pa.)
|May 10, 2024
Summary
Transurethral indwelling catheter (TIC) and intermittent self-catheterization (ISC) are more cost-effective than suprapubic tubes (SPT) for managing postoperative urinary retention after pelvic surgery. These findings offer valuable economic insights for healthcare providers.
Area of Science:
- Urology
- Health Economics
- Surgical Outcomes
Background:
- Transient postoperative urinary retention (POUR) affects 15-45% of women undergoing pelvic reconstructive surgery.
- Current bladder drainage options include transurethral indwelling catheter (TIC), intermittent self-catheterization (ISC), and suprapubic tube (SPT), with no established clinical superiority or economic analysis.
Purpose of the Study:
- To conduct a comprehensive comparative economic analysis of different bladder catheterization strategies following transvaginal pelvic surgery.
- To evaluate the costs associated with TIC, ISC, and SPT for managing transient POUR.
Main Methods:
- A decision tree model was developed from a Canadian universal single-payer health system perspective.
- Costs were calculated over a 6-week horizon, using data from institutional records and systematic reviews.
- Cost data were validated with process stakeholders and published sources.
Main Results:
- For outpatient procedures, average costs were: TIC (150.69 CAD), ISC (162.28 CAD), and SPT (255.67 CAD).
- For inpatient procedures, average costs were: TIC (134.22 CAD) and SPT (224.61 CAD).
- Transurethral indwelling catheter (TIC) and intermittent self-catheterization (ISC) were significantly less expensive than suprapubic tube (SPT).
Conclusions:
- Transurethral indwelling catheter (TIC) and intermittent self-catheterization (ISC) represent more cost-effective management options for transient postoperative urinary retention after transvaginal pelvic reconstructive surgery compared to suprapubic tube (SPT).
- This economic evaluation provides crucial data for optimizing resource allocation in managing POUR.
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