title: Postoperative urinary outcomes in catheterized and non-catheterized patients undergoing laparoscopic-assisted vaginal hysterectomy--a randomized controlled trial.
abstract: The objective of this study is to assess the impact of bladder catheterization on the incidence of postoperative urinary tract infection (UTI) and urinary retention (PUR) following laparoscopic-assisted vaginal hysterectomy (LAVH). One hundred fifty patients undergoing LAVH were randomly assigned to no catheter use, 1-day, and 2-day catheter groups. The relationship between preoperative, intraoperative, and postoperative factors and the rates of UTI and PUR were determined. The incidences of UTI and PUR were 9.3% and 18.7%, respectively. The highest rate of UTI occurred in the 2-day catheter group; the highest rate of PUR occurred in no-catheter-use group. Multivariable logistical regression showed the duration of catheterization was the single predictor of UTI; duration of catheterization and diabetes mellitus were predictors for PUR. While short-term indwelling catheterization resulted in decreased rate of PUR, UTI rate increased among patients undergoing LAVH. Nonetheless, most patients resumed normal urination shortly after surgery.
authors.affiliation: Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Medical Center, Kweishan, Taoyuan, Taiwan.
authors.forename: Ching-Chung
authors.initials: CC
authors.lastname: Liang
authors.forename: Chyi-Long
authors.initials: CL
authors.lastname: Lee
authors.forename: Ting-Chang
authors.initials: TC
authors.lastname: Chang
authors.forename: Yao-Lung
authors.initials: YL
authors.lastname: Chang
authors.forename: Chin-Jung
authors.initials: CJ
authors.lastname: Wang
authors.forename: Yung-Kuei
authors.initials: YK
authors.lastname: Soong
mesh_terms: D000328:Adult; D048909:Diabetes Complications / Q000150:complications; D005260:Female; D006801:Humans; D007045:Hysterectomy, Vaginal / Q000379:methods*; D015994:Incidence; D010535:Laparoscopy / Q000379:methods*; D016015:Logistic Models; D008875:Middle Aged; D011184:Postoperative Period; D011237:Predictive Value of Tests; D012307:Risk Factors; D013997:Time Factors; D014546:Urinary Catheterization / Q000009:adverse effects*; D016055:Urinary Retention / Q000453:epidemiology / Q000209:etiology*; D014552:Urinary Tract Infections / Q000453:epidemiology / Q000209:etiology*