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Evid Based Nurs 8:54 doi:10.1136/ebn.8.2.54
  • Treatment

Short term catheterisation after vaginal prolapse surgery increased recatheterisations, but reduced urinary tract infections, duration of catheterisation, and hospital stay


 
 Q Is short term catheterisation more beneficial than standard, prolonged catheterisation after vaginal prolapse surgery?

METHODS

GraphicDesign:

randomised controlled trial.

GraphicAllocation:

unclear allocation concealment.

GraphicBlinding:

unblinded.

GraphicFollow up period:

to the end of hospital stay.

GraphicSetting:

a large hospital in the Netherlands.

GraphicPatients:

100 women who were having anterior colporrhaphy. Patients with signs of a preoperative urinary tract infection (UTI) were excluded.

GraphicIntervention:

all patients had a transurethral Foley catheter (Charrière 14) inserted in the operating suite immediately after surgery. 50 patients were allocated to short term catheterisation (catheter removal on the morning after surgery), and 50 patients were allocated to standard prolonged catheterisation (catheter removal on the morning of the 5th postoperative day). Patients with imminent overfilling (ie, a post-voiding residual volume ⩾200 ml) …

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