Effect of routine pre-operative urethral catheterization of women undergoing minor gynaecological surgeries on urinary symptoms and urinary infections: a randomized control study

Faza, Mohannad Abu; Abdelazim, Ibrahim A.; Khalifa, Ayman M.; Othman, Hossam S.; Alsharif, Dareen A.

doi:10.18203/2320-1770.ijrcog20162633

Cited by 2 publications

(5 citation statements)

References 13 publications

(30 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A randomized controlled trial (RCT) found that the routine urinary catheterization in minor gynaecological surgeries increases the risk of asymptomatic bacteriuria and UTIs [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…The studied participants were informed that routine catheterization before CS prevents iatrogenic urinary bladder injury and helps the postoperative assessment of urine output [ 2 , 3 ]. On the other hand, they were informed that routine urinary catheterization during CS is not necessary [ 8 ], and prolonged catheterization may increase UTIs (80% of UTIs are catheter-associated) [ 6 ]. Additionally, participants were informed that each participant who agreed and was included in the study had an equal chance to be in the catheterized (C) group or in the non-catheterized (NC) group according to the randomization table.…”

Section: Methodsmentioning

confidence: 99%

“…Urinary tract infections are the commonest cause of antimicrobial therapy in hospitals, and about 80% of UTIs are catheter-associated [ 6 ]. The Infection Control Advisory Board agreed that there is strong evidence indicating that urinary catheterization should be avoided [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

“…Urinary tract infections are the commonest cause of antimicrobial therapy in hospitals, and about 80% of UTIs are catheter-associated [6]. The Infection Control…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Relationship between routine urinary catheterization and postoperative urinary symptoms and urinary tract infections in women undergoing elective caesarean section

Samaha,

Khamidullina,

Abdelazim

2023

View full text Add to dashboard Cite

Introduction The aim of the study was to detect the relationship between routine urinary catheterization and postoperative urinary symptoms and urinary tract infections (UTIs) in women undergoing elective caesarean sections (ECSs). Material and methods One hundred women undergoing ECSs were included in this observational study and randomized into a catheterized (C) group, including women who underwent ECS after insertion of indwelling Foley’s catheter, and a non-catheterized (NC) group, including women who underwent ECS without Foley’s catheter. The Foley’s catheters were removed from all participants in the C group once they were freely ambulant and had recovered from the effect of the spinal anaesthesia. Participants were asked about any abnormal postoperative urinary symptoms (dysuria, frequency, urgency, and/or urinary retention), and to collect urine samples (mid-stream) once they were freely ambulant for urine cultures. Results The postoperative dysuria, frequency, and urgency were significantly higher in the C group compared to the NC group [36% (18/50), 40% (20/50), and 34% (17/50) vs. 8% (4/50), 6% (3/50), and 6% (3/50), respectively], ( p = 0.006, 0.001 and 0.004, respectively). The urinary tract infections and the postoperative antimicrobials used were significantly higher in the C group compared to the NC group [40% (20/50) and 40% (20/50) vs. 6% (3/50) and 6% (3/50), respectively], ( p = 0.001 and 0.001, respectively). The postoperative hospital-stay after the ECSs was significantly higher in the C group compared to the NC group (5.4 ±1.8 days vs. 3.8 ±1.15, respectively), ( p = 0.001). Conclusions Routine urinary catheterizations in women undergoing ECS significantly increase the odds of postoperative dysuria, frequency, urgency, UTIs, and the postoperative antimicrobials used.

show abstract

“…A randomized controlled trial (RCT) found that the routine urinary catheterization in minor gynaecological surgeries increases the risk of asymptomatic bacteriuria and UTIs [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Urinary tract infections are the commonest cause of antimicrobial therapy in hospitals, and about 80% of UTIs are catheter-associated [6]. The Infection Control…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Relationship between routine urinary catheterization and postoperative urinary symptoms and urinary tract infections in women undergoing elective caesarean section

Samaha,

Khamidullina,

Abdelazim

2023

View full text Add to dashboard Cite

show abstract

“…However, intraoperative sterile bladder decompression is not without risk. Increased dysuria, frequency, and UTI have been reported following routine preoperative catheterization in the gynecologic surgery population [15]. …”

Section: Discussionmentioning

confidence: 99%

Postoperative urinary retention after inguinal hernia repair: a single institution experience

Blair¹,

Dwarakanath²,

Mehta

et al. 2017

Hernia

View full text Add to dashboard Cite

Purpose Inguinal hernia repair is a common general surgery procedure with low morbidity. However, postoperative urinary retention (PUR) occurs in up to 22% of patients, resulting in further extraneous treatments. This single institution series investigates whether patient comorbidities, surgical approaches, and anesthesia methods are associated with developing PUR after inguinal hernia repairs. Methods This is a single institution retrospective review of inguinal hernia from 2012 to 2015. PUR was defined as patients without a postoperative urinary catheter who subsequently required bladder decompression due to an inability to void. Univariate and multivariate logistic regressions were performed to quantify the associations between patient, surgical, and anesthetic factors with PUR. Stratification analysis was conducted at age of 50 years. Results 445 patients were included (42.9% laparoscopic and 57.1% open). Overall rate of PUR was 11.2% (12% laparoscopic, 10.6% open, and p = 0.64). In univariate analysis, PUR was significantly associated with patient age >50 and history of benign prostatic hyperplasia (BPH).Risk stratification for age >50 revealed in this cohort a 2.49 times increased PUR risk with lack of intraoperative bladder decompression (p = 0.013). Conclusions At our institution, we found that patient age, history of BPH, and bilateral repair were associated with PUR after inguinal hernia repair. No association was found with PUR and laparoscopic vs open approach. Older males may be at higher risk without intraoperative bladder decompression, and therefore, catheter placement should be considered in this population, regardless of surgical approach.

show abstract

Effect of routine pre-operative urethral catheterization of women undergoing minor gynaecological surgeries on urinary symptoms and urinary infections: a randomized control study

Cited by 2 publications

References 13 publications

Relationship between routine urinary catheterization and postoperative urinary symptoms and urinary tract infections in women undergoing elective caesarean section

Relationship between routine urinary catheterization and postoperative urinary symptoms and urinary tract infections in women undergoing elective caesarean section

Postoperative urinary retention after inguinal hernia repair: a single institution experience

Contact Info

Product

Resources

About