title: A comparison of suprapubic and transurethral catheterization on postoperative urinary retention after vaginal prolapse repair: a randomized controlled trial.
abstract: OBJECTIVE
  To compare the effect of suprapubic and transurethral catheterization on postvoid residual volumes (PRVs) after cystocele repair.
  
  
  METHODS
  126 women who underwent pelvic organ prolapse surgery including cystocele repair were randomized to suprapubic or transurethral catheterization. At the third postoperative day, PRVs were measured. The number of women with PRV >150 ml, need for prolonged catheterization, recatheterization, length of hospital stay, frequency of urinary tract infections and complications were determined.
  
  
  RESULTS
  PRVs exceeded 150 ml in 13 out of 64 (20%) and 14 out of 62 (23%) women in the suprapubic and transurethral group, respectively (p = 0.76). In the suprapubic group a higher rate of urine leakage was noted (27 vs. 7%, p = 0.003). 10 women (16%) allocated to the suprapubic group switched to transurethral catheterization, because of problems with the suprapubic catheter. No protocol deviations were reported in the transurethral group. Of the women in both groups, 9% developed urinary tract infections (p = 0.93).
  
  
  CONCLUSIONS
  Suprapubic catheterization was comparable to transurethral catheterization in the prevention of postoperative voiding dysfunction after vaginal prolapse surgery, but it was associated with a higher rate of complications.
authors.affiliation: Department of Obstetrics and Gynecology, Deventer Ziekenhuis, Deventer, The Netherlands.
authors.forename: Eva
authors.initials: E
authors.lastname: Stekkinger
authors.forename: Paul J Q
authors.initials: PJ
authors.lastname: van der Linden
mesh_terms: D005260:Female; D006801:Humans; D007902:Length of Stay; D008875:Middle Aged; D009426:Netherlands; D011183:Postoperative Complications / Q000209:etiology*; D011446:Prospective Studies; D016896:Treatment Outcome; D014546:Urinary Catheterization / Q000009:adverse effects* / Q000379:methods; D016055:Urinary Retention / Q000209:etiology*; D014552:Urinary Tract Infections / Q000209:etiology*; D014596:Uterine Prolapse / Q000601:surgery*