Catheterization options following radical surgery for cervical cancer.
This trial assessed the potential benefits of intermittent self-catheterization (ISC) over standard care with suprapubic catheterization (SPC) in the postoperative bladder care of women with early-stage cervical cancer following radical hysterectomy. A prospective randomized controlled trial of 40 women was carried out. The urinary infection rate (catheter specimen of urine) was significantly higher in the ISC group at day 3 and day 5 (42% and 63%) compared to the SPC group (6% and 18%), p=0.05 and p=0.004, respectively. Forty-seven percent of patients randomized to SPC documented having problems arising from the SPC site, of which 23% were shown to have a positive wound swab. Despite a greater urinary tract infection rate, the technique of ISC was seen by women to be more acceptable, allowing fewer disturbances at night, greater freedom to live a normal life and less anxiety/embarrassment compared to SPC.
Roberts
Karen
K
Northern Gynaecologoical Oncology Centre, Queen Elizabeth Hospital, Gateshead, Tyne and Wear.
Naik
Raj
R
D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D001294:Attitude to Health; D003428:Cross Infection / Q000209:etiology / Q000517:prevention & control; D003559:Cystostomy / Q000009:adverse effects / Q000379:methods* / Q000523:psychology; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects* / Q000451:nursing; D017053:Infection Control; D008019:Life Style; D008875:Middle Aged; D015404:Nursing Methodology Research; D011182:Postoperative Care / Q000379:methods* / Q000451:nursing / Q000523:psychology; D011446:Prospective Studies; D012648:Self Care / Q000009:adverse effects / Q000379:methods* / Q000523:psychology; D011795:Surveys and Questionnaires; D013997:Time Factors; D014546:Urinary Catheterization / Q000009:adverse effects / Q000379:methods* / Q000523:psychology; D014552:Urinary Tract Infections / Q000209:etiology / Q000517:prevention & control; D002583:Uterine Cervical Neoplasms / Q000601:surgery*