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[Management of postoperative transurethral catheterization with two technics for bladder drainage in surgery for
J E Alonso-Sosa1, A R Cruz-Estrada, D M Pérez-Bojorquez
1Departamento de Ginecología, Hospital de Gineco-pediatría del Centro Médico Nacional El Fénix, Instituto Mexicano del Seguro Social, Mérida, Yuc.
Abstract:
Fifty patients with diagnoses of pelvic floor relaxation or stress urinary incontinence were randomly allocated to either transurethral closed, or transurethral open bladder drainage after vaginal surgery for pelvic floor relaxation or stress urinary incontinence. Postoperative normal bladder function resumed more rapidly when transurethral closed drainage was used (P < 0.05). Postoperative use transurethral closed bladder drainage significantly reduced urinary tract infection (P < 0.05), so most of the patients didn't need bladder catheterization at time of discharge, as opposed to more than half those with transurethral open drainage, who left the hospital with a catheter in place (P < 0.05). We that is both beneficial and efficient to use transurethral closed bladder drainage than transurethral open bladder drainage after a pelvic floor relaxation or stress urinary incontinence surgery.