title: Removal of catheter at midnight versus early morning: the patients' perspective.
abstract: BACKGROUND
  With an increasing role of the patient as a partner in making a combined decision in care plan goals, it is important to identify the patient's perspective of the experience of removal of catheter (ROC).
  
  
  METHODS
  A non-consecutive prospective randomized study was performed in 84 patients who underwent a transurethral resection of the prostate to determine the impact of midnight versus early-morning ROC on sleep deprivation, over all discomfort to the patient.
  
  
  RESULTS
  There was no difference in the patient experience in both groups. We found a reduced frequency during the first 6 h of ROC at midnight. However, there was an increased incidence of sleep disturbances in this group. This may in part be due to an anxiety of urge incontinence and may be allayed by appropriate counselling. There was no delay in discharge of the patients in both groups.
  
  
  CONCLUSIONS
  The patients must, therefore, be given the choice of ROC either at midnight or early morning, as the advantages of a reduced frequency must be correlated with an increased incidence of sleep disturbances.
authors.affiliation: Department of Urology, Sandwell Healthcare National Health Service Trust, West Bromwich, UK.
authors.forename: S B
authors.initials: SB
authors.lastname: Ganta
authors.forename: A
authors.initials: A
authors.lastname: Chakravarti
authors.forename: B
authors.initials: B
authors.lastname: Somani
authors.forename: M A
authors.initials: MA
authors.lastname: Jones
authors.forename: K
authors.initials: K
authors.lastname: Kadow
mesh_terms: D000368:Aged; D001071:Appointments and Schedules; D020878:Device Removal; D006801:Humans; D008297:Male; D011182:Postoperative Care / Q000379:methods / Q000451:nursing; D011446:Prospective Studies; D011468:Prostatectomy / Q000009:adverse effects / Q000451:nursing*; D011469:Prostatic Diseases / Q000601:surgery; D014546:Urinary Catheterization / Q000295:instrumentation / Q000451:nursing; D014549:Urinary Incontinence / Q000209:etiology / Q000503:physiopathology; D014554:Urination / Q000502:physiology