title: A randomized controlled trial of clean intermittent self-catheterization versus suprapubic catheterization after urogynecologic surgery.
abstract: OBJECTIVE
  The purpose of this study was to compare the risk of significant bacteruria between clean intermittent self-catheterization (CISC) and suprapubic catheterization (SPC) after urogynecologic surgery.
  
  
  METHODS
  Patients were randomized to CISC or SPC. A urinalysis and patient satisfaction questionnaire were conducted on postoperative days 2 and 7. Urine culture was performed for positive urinalysis. Significant bacteruria was defined as > 100,000 cfu/mL. To detect a decrease in bacteruria risk from 25% to 10%, 113 subjects per group were needed with 80% power and alpha of 0.05.
  
  
  RESULTS
  Of 248 randomized patients, 210 were included in the final analysis. The overall risk of bacteruria was 27% with no difference between SPC and CISC (31% vs 23%, P = .23). Patients reported more frustration (P = .01) and more difficulty (P = .003) using CISC.
  
  
  CONCLUSIONS
  There was no difference in risk of significant bacteruria between CISC and SPC. Patients reported more frustration and difficulty with self-catheterization.
authors.affiliation: Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC, USA.
authors.forename: Mary L
authors.initials: ML
authors.lastname: Jannelli
authors.forename: Jennifer M
authors.initials: JM
authors.lastname: Wu
authors.forename: Linda W
authors.initials: LW
authors.lastname: Plunkett
authors.forename: Kathryn S
authors.initials: KS
authors.lastname: Williams
authors.forename: Anthony G
authors.initials: AG
authors.lastname: Visco
mesh_terms: D000328:Adult; D000368:Aged; D001437:Bacteriuria / Q000209:etiology*; D005260:Female; D006801:Humans; D008875:Middle Aged; D017060:Patient Satisfaction; D012307:Risk Factors; D012648:Self Care; D013997:Time Factors; D014546:Urinary Catheterization / Q000009:adverse effects* / Q000379:methods; D013519:Urogenital Surgical Procedures