Comparison of 1 and 3 days' transurethral Foley catheterization after retropubic incontinence surgery.
This prospective study was done to see if reducing transurethral Foley catheterization from 3 days to 1 would lead to fewer urinary tract infections without an increase in voiding problems. Ninety-one women undergoing retropubic surgery for stress urinary incontinence (Burch or Marshall-Marchetti-Krantz) were randomized to either 1 or 3 days' catheterization. Antibiotics were not used. Infection was diagnosed in 9 (20.0%) patients in the 1-day group and in 16 (34.8%) in the 3-day group. Delayed voiding occurred in 13 (28.9%) and 10 (21.7%) patients, respectively, and 5 (11.1%) and 3 (6.5%), respectively, received a new catheter. The differences do not reach statistical significance. Therefore, catheter time may safely be reduced to 1 day. This may lead to fewer infections but also somewhat more voiding problems. If a transurethral catheter is to be used, on balance the two regimens are equivalent.
Schiøtz
H A
HA
Department of Obstetrics and Gynecology, Vestfold Central Hospital, Tønsberg, Norway.
D000328:Adult; D000368:Aged; D001419:Bacteria / Q000302:isolation & purification; D001437:Bacteriuria / Q000209:etiology / Q000517:prevention & control*; D002404:Catheterization; D005260:Female; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control*; D011446:Prospective Studies; D012307:Risk Factors; D013997:Time Factors; D014521:Urethra; D014550:Urinary Incontinence, Stress / Q000601:surgery*; D014552:Urinary Tract Infections / Q000209:etiology / Q000517:prevention & control*; D014554:Urination; D014556:Urine / Q000382:microbiology