Postoperative catheterization after anterior colporrhaphy: 2 versus 5 days. A multicentre randomized controlled trial.
OBJECTIVE
The aim of this study was to compare the number of temporary catheter replacements and urinary tract infections after indwelling catheterization for 2 versus 5 days following an anterior colporrhaphy.


METHODS
Two hundred forty-six patients were randomly assigned to 2 or 5 days of indwelling catheterization. Outcome measures were temporary catheter replacements because of post-voiding residual >200 mL after removal of the indwelling catheter, urinary tract infections, and hospital stay. All patients were analyzed according to the intention to treat principle.


RESULTS
Compared to the 5-day protocol group, in the 2-day protocol group more patients needed temporary catheter replacement (9% versus 28%, odds ratio (OR) 4.0, confidence interval (CI) 1.9-8.3, p < 0.01), whereas less patients had a urinary tract infection (37% versus 22%, OR 0.5, CI 0.3-0.9, p = 0.02) and median hospital stay was lower.


CONCLUSIONS
Removal of an indwelling catheter after 2 versus 5 days following anterior colporrhaphy is associated with more temporary catheter replacements, but less urinary tract infections and a shorter hospital stay.
Department of Obstetrics & Gynecology, GROW-School for Oncology and Developmental Biology, Maastricht University Medical Centre, PO Box 5800, 6202 AZ Maastricht, The Netherlands. m.weemhoff@mumc.nl
Mirjam
M
Weemhoff
Martine M L H
MM
Wassen
Laura
L
Korsten
Jan
J
Serroyen
Paul H N M
PH
Kampschöer
Frans J M E
FJ
Roumen
D000368:Aged; D002408:Catheters, Indwelling / Q000009:adverse effects*; D052858:Cystocele / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology* / Q000209:etiology; D013997:Time Factors; D014546:Urinary Catheterization / Q000009:adverse effects*; D016055:Urinary Retention / Q000453:epidemiology* / Q000209:etiology; D014552:Urinary Tract Infections / Q000453:epidemiology* / Q000209:etiology