Early Catheter Removal Improves Recovery After Total Abdominal Hysterectomy: A Randomized Trial

Area of Science:

• Gynecology
• Urology
• Surgical Recovery

Background:

• Urinary indwelling catheters are commonly used post-hysterectomy.
• Catheter removal timing can influence patient recovery and complication rates.

Purpose of the Study:

• To evaluate the impact of early urinary catheter removal on postoperative recovery in women undergoing total abdominal hysterectomy (TAH).

Main Methods:

• An open-label randomized controlled trial involving 100 women undergoing TAH.
• Patients were randomized to either early (12-16 hours) or standard (20-24 hours) catheter removal.
• Primary outcomes included time to ambulation and six-minute walk test distance.

Main Results:

• Early catheter removal significantly reduced time to ambulation and first voiding.
• No significant differences were observed in six-minute walk test distances, urinary retention, or urinary tract infection rates.
• Hospital stay, costs, and patient satisfaction remained comparable between groups.

Conclusions:

• Early urinary catheter removal (12-16 hours) accelerates postoperative recovery after uncomplicated TAH.
• This practice improves ambulation and voiding without adverse urinary events.
• Supports integration into Enhanced Recovery After Surgery (ERAS) protocols.