Early postoperative bladder training in patients submitted to radical hysterectomy: is it still necessary? A randomized trial

Fanfani, Francesco; Costantini, Barbara; Mascilini, F.; Vizzielli, Giuseppe; Gallotta, Valerio; Vigliotta, M.; Piccione, Emilio; Scambia, Giovanni; Fagotti, Anna

doi:10.1007/s00404-014-3500-5

Cited by 20 publications

(13 citation statements)

References 23 publications

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“…The length of postoperative IUC placement usually depends on the surgeon's preference and experience, which still remains controversial in scientific field (Fanfani et al . ). Although prolonged bladder drainage has been recommended by some authors, a shorter duration of catheterisation less than seven days could decrease postoperative urinary tract complications such as UTI and bladder retention (Cardosi et al .…”

Section: Discussionmentioning

confidence: 97%

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The effect of clamping the indwelling urinary catheter before removal in cervical cancer patients after radical hysterectomy

Gong

Zhao

Wang

et al. 2017

Journal of Clinical Nursing

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Section: Discussionmentioning

confidence: 97%

“…In a similar study as the present one, Fanfani et al . () evaluated the necessity of bladder training via IUC clamping in patients receiving different types of radical hysterectomy. The authors found the procedure did not influence the rate of urinary retention or bladder recatheterisation.…”

Section: Discussionmentioning

confidence: 99%

The effect of clamping the indwelling urinary catheter before removal in cervical cancer patients after radical hysterectomy

Gong

Zhao

Wang

et al. 2017

Journal of Clinical Nursing

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“…While some studies emphasize that clamping of the urinary catheter can strengthen the detrusor muscle, increase the muscle tone and sensitivity, and return the bladder to its normal function in a shorter time, some other studies put forth that clamping of the urinary catheter had no effect on the development of postoperative urinary retention and re-catheterization. 7,10,11,[20][21][22][23][24][25][26] In our study, the analysis of the incidence rates of residual urine performed in the experimental and control groups at three measurement times demonstrated that there was no significant difference between the groups both on the first day [E: 10 (20%), C: 12 (24%)] and in the first week [E: 2 (4%), C: 3 (6%)]. In the sixth week, no residual urine was observed in any patient in both groups.…”

Section: Discussionmentioning

confidence: 99%

Effects of Urinary Catheter Clamping After Cesarean Section on Urinary Retention and Urinary Tract Infection

Gül¹

2020

J Reconstr Urol

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This study was planned to investigate the effect of intermittent clamping of the urinary catheter after cesarean section and exercising the detrusor muscle on the post-void residual urine volume and reduction of the risk of urinary tract infection in the early stage. Material and Methods: This randomized controlled study was carried out with 100 primiparous pregnant women who were to undergo elective cesarean section between January 2019 and January 2020. The participants were randomly assigned into 2 groups: the experimental group including 50 patients who underwent urinary catheter clamping 3 times after the postoperative 3 rd hour, by turning off the urinary catheter for 3 hours, and then turning it on for 5 minutes and the control group including 50 patients who did not undergo urinary catheter clamping. The study data were collected with the maternal information form and Urinary Distress Inventory (UDI-6). The UDI-6 was used to assess the subjective voiding difficulty. The primary outcome of the present study was to determine whether exercising the detrusor muscle decreased post-void residual urine volume in patients having undergone cesarean section. The secondary results were the incidence of urinary tract infections and subjective symptoms experienced by the patients. Results: According to the comparison of the post-void residual urine volume in the experimental (E) and control (C) groups, no significant difference was observed between the groups on the first day [E=10 (20%), C=12 (24%) (p=0.629)] and in the first week [E=2 (4%), C=3 (6%) (p=1.000)]. In the sixth week, no post-void residual urine volume was observed in any patient in either group. There was no statistical difference between the groups in percentage change values in time dependent intragroup UDI-6 scores (p=0.453). While the median change in the experimental group was 50.60%, this value was obtained as 58.93% in the control group. While the rate of the participants with positive urine culture in the experimental group was 6%, it was 4% in the control group, and there was no significant difference between the groups (p=1.000). Conclusion: In our study, urinary catheter clamping has no reducing effect on post-void residual urine volume, urinary tract infection and subjective voiding difficulty.

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“… 12 – 14 Sparing nerves and reducing intraoperative hemorrhage 15 , 16 and indwelling urinary catheter for 7–14 days and bladder training are very important in helping patients to restore the bladder voiding function. 17 …”

Section: Discussionmentioning

confidence: 99%

Comparative analyses of postoperative complications and prognosis of different surgical procedures in stage II endometrial carcinoma treatment

Yin¹,

Gui²

2016

OTT

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ObjectiveTo investigate the impact of surgical resection extent on the postoperative complications and the prognosis in patients with stage II endometrial cancer.MethodsA total of 54 patients were retrospectively reviewed, 35 patients underwent subradical hysterectomy and 19 patients received radical hysterectomy, both with simultaneous bilateral salpingo-oophorectomy and pelvic and paraaortic lymphadenectomy.ResultsComparing the surgical outcomes in subradical hysterectomy group vs radical hysterectomy group, there were no significant differences in operative time, estimated blood loss, and hospital stay. After surgery, 37.1% vs 36.8% patients received postoperative radiotherapy in the subradical hysterectomy group vs radical hysterectomy group, without statistically significant difference. As for postoperative complications, the early postoperative complication rate in patients who underwent subradical hysterectomy was 14.3%, significantly lower than that in patients submitted to radical hysterectomy (14.3% vs 42.1%), with P=0.043. However, there was no significant difference in late postoperative complication rate between the two surgical procedures. Regarding the clinical prognosis, patients receiving the subradical hysterectomy showed similar survival to their counterparts undergoing the radical procedures. The relapse rate was 5.71% vs 5.26%, respectively, without significant difference. There were no deaths in both surgical groups.ConclusionFor stage II endometrial carcinoma, subradical hysterectomy presented with less early postoperative complications and similar survival duration and recurrence compared with radical hysterectomy and should be advocated in clinical treatment.

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Early postoperative bladder training in patients submitted to radical hysterectomy: is it still necessary? A randomized trial

Abstract: Functional bladder disfunctions are the most common long-term complications following radical hysterectomy. Systematic postoperative bladder training following nerve-sparing radical hysterectomy does not influence the rate of urinary retention or re-admission for bladder catheterization.

Cited by 20 publications

References 23 publications

The effect of clamping the indwelling urinary catheter before removal in cervical cancer patients after radical hysterectomy

The effect of clamping the indwelling urinary catheter before removal in cervical cancer patients after radical hysterectomy

Effects of Urinary Catheter Clamping After Cesarean Section on Urinary Retention and Urinary Tract Infection

Comparative analyses of postoperative complications and prognosis of different surgical procedures in stage II endometrial carcinoma treatment

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