title: Postoperative infections due to bladder catheters after anterior colporrhaphy: a prospective, randomized three-arm study.
abstract: OBJECTIVE
  Different forms of urinary drainage are applied after anterior colporrhaphy. Suprapubic urinary catheter (SUC) and indwelling urinary catheter (IUC) for 2 to 96 h are preferred. If there is no difference in symptomatic urinary tract infection (SUTI) or complications between IUCs for 96 and 24 h, the latter will be considered sufficient. If IUCs have no higher rate of infections or complications compared to SUC for 96 h, the former could be considered sufficient.
  
  
  METHODS
  It was a three-arm prospective, randomized study including 257 patients. The three arms were: IUCs for 24 h, IUCs for 96 h, and SUCs for 96 h.
  
  
  RESULTS
  We found no significant difference in SUTIs between all three groups. Although the SUC arm showed no SUTIs, a significant higher rate of complications was seen.
  
  
  CONCLUSIONS
  The optimal bladder catheter after anterior colporrhaphy was, in our trial, the IUC for 24 h.
authors.affiliation: Department of Obstetrics and Gynaecology, University of Rostock, Rostock, Germany. ute.kringel@kliniksued-rostock.de
authors.forename: Ute
authors.initials: U
authors.lastname: Kringel
authors.forename: Toralf
authors.initials: T
authors.lastname: Reimer
authors.forename: Stefan
authors.initials: S
authors.lastname: Tomczak
authors.forename: Sarah
authors.initials: S
authors.lastname: Green
authors.forename: Guenther
authors.initials: G
authors.lastname: Kundt
authors.forename: Bernd
authors.initials: B
authors.lastname: Gerber
mesh_terms: D000368:Aged; D002408:Catheters, Indwelling / Q000009:adverse effects* / Q000382:microbiology; D003127:Colposcopy; D052858:Cystocele / Q000601:surgery; D005260:Female; D006801:Humans; D015994:Incidence; D008875:Middle Aged; D011446:Prospective Studies; D012307:Risk Factors; D013997:Time Factors; D014546:Urinary Catheterization / Q000295:instrumentation* / Q000379:methods; D014552:Urinary Tract Infections / Q000453:epidemiology* / Q000382:microbiology