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Prolonged catheterization after vaginal prolapse surgery

M E Vierhout1

  • 1Department of Obstetrics & Gynecology, Ikazia Hospital, Rotterdam, The Netherlands.

Acta Obstetricia Et Gynecologica Scandinavica
|December 16, 1998
PubMed
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Home use of a transurethral Foley catheter is a viable option for managing urinary retention after vaginal prolapse surgery. While generally effective, over a third of patients found the catheterization period unpleasant.

Area of Science:

  • Urology
  • Gynecologic Surgery

Background:

  • Urinary retention is a potential complication following vaginal prolapse surgery.
  • Management options for prolonged urinary retention include intermittent catheterization, suprapubic catheterization, and domestic Foley catheter use.

Purpose of the Study:

  • To assess the efficacy and patient experience of domestic transurethral Foley catheter use after hospital discharge.
  • To evaluate Foley catheterization as an alternative to other methods for post-operative urinary retention.

Main Methods:

  • A retrospective review of 27 patients who utilized a Foley catheter at home post-vaginal prolapse surgery.
  • Patient experiences were gathered via postal questionnaire.

Main Results:

  • 11% of 263 vaginal prolapse surgeries required prolonged home catheterization.

Related Experiment Videos

  • Successful restoration of micturition occurred in most patients after a median of 13 days post-discharge.
  • 37% of patients reported the catheterization period as unpleasant, with 79% experiencing no long-term bladder emptying issues.
  • Conclusions:

    • Domestic transurethral Foley catheterization is a practical alternative for managing urinary retention post-prolapse surgery when spontaneous voiding is delayed.
    • Patient-reported unpleasantness is a significant consideration, affecting over one-third of users.