RCT of urethral versus suprapubic catheterization

Dixon, Liz; Dolan, Lucia; Brown, Karen; Hilton, Paul

doi:10.12968/bjon.2010.19.sup8.79063

Cited by 28 publications

(30 citation statements)

References 11 publications

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“…Two trials received a score of 1 23,24 because the description of withdrawals was not deemed adequate. Adequate concealment was not the norm with only four trials 7,9,13,19 adequately concealing randomization. Half the trials adequately described their randomization process, and the majority described dropouts ( Fig.…”

Section: Resultsmentioning

confidence: 99%

“…Intermittent urethral catheterization techniques (clean intermittent catheterization and clean intermittent self-catheterization) have demonstrated decreased rates of urinary tract infection when compared with indwelling urethral catheterization, 7,8 although increased nursing workload, cost, and varying patient preferences are factors that mitigate against opting for these newer forms of postoperative bladder drainage. 7,9,10 A recent Cochrane review examined options for short-term catheterization and concluded that further evidence was required before definite consensus could be reached. 11 However, the scope of the 2006 Cochrane was broad, including studies on both male and female populations.…”

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confidence: 99%

“…11 However, the scope of the 2006 Cochrane was broad, including studies on both male and female populations. Furthermore, since then, several additional prospective studies specific to gynecologic patients have been published, 7,9,12,13 making reanalysis of this issue timely. We undertook a systematic review and meta-analysis to determine the benefits of suprapubic catheterization compared with urethral catheterization in women undergoing gynecologic surgery.…”

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confidence: 99%

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Suprapubic Compared With Transurethral Bladder Catheterization for Gynecologic Surgery

Healy

Walsh

Cotter

et al. 2012

Obstetrics & Gynecology

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Based on the best available evidence, no route for bladder drainage in gynecologic patients is clearly superior. The reduced rate of infective morbidity with suprapubic catheterization is offset by a higher rate of catheter-related complications and crucially does not translate into reduced hospital stay. As yet, there are insufficient data to determine which route is most appropriate for catheterization; therefore, cost and patient-specific factors should be paramount in the decision. Minimally invasive surgery may alter the requirement for prolonged postoperative catheterization.

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Section: Resultsmentioning

confidence: 99%

mentioning

confidence: 99%

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confidence: 99%

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Suprapubic Compared With Transurethral Bladder Catheterization for Gynecologic Surgery

Healy

Walsh

Cotter

et al. 2012

Obstetrics & Gynecology

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“…[1][2][3]10 Furthermore, three studies show advantages of CIC over SPC concerning acceptability, duration of treatment and hospitalisation. 23,25,26 The length of the prolongation period in the TIC group of 3 days might seem arbitrary. This period was chosen to reflect common practice in the Netherlands.…”

Section: Discussionmentioning

confidence: 99%

Comparing clean intermittent catheterisation and transurethral indwelling catheterisation for incomplete voiding after vaginal prolapse surgery: a multicentre randomised trial

Hakvoort

Thijs

Bouwmeester

et al. 2011

BJOG: An International Journal of Obstetrics &Amp; Gynaecology

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Objective To compare clean intermittent catheterisation with transurethral indwelling catheterisation for the treatment of abnormal post-void residual bladder volume (PVR) following vaginal prolapse surgery.Design Multicentre randomised controlled trial.Setting Five teaching hospitals and one non-teaching hospital in the Netherlands.Population All patients older than 18 years experiencing abnormal PVR following vaginal prolapse surgery, with or without the use of mesh. Exclusion criteria were: any neurological or anxiety disorder, or the need for combined anti-incontinence surgery.Methods All patients were given an indwelling catheter directly after surgery, which was removed on the first postoperative day. Patients with a PVR of more than 150 ml after their first void were randomised for clean intermittent catheterisation (CIC), performed by nursing staff, or for transurethral indwelling catheterisation (TIC) for 3 days.Main outcome measure Bacteriuria rate at end of treatment.Results A total of 87 patients were included in the study. Compared with the TIC group (n = 42), there was a lower risk of developing bacteriuria (14 versus 38%; P = 0.02) or urinary tract infection (UTI; 12 versus 33%; P = 0.03) in the CIC group (n = 45); moreover, a shorter period of catheterisation was required (18 hours CIC versus 72 hours TIC; P < 0.001). Patient satisfaction was similar in the two groups, and no adverse events occurred.Conclusion Clean intermittent catheterisation is preferable over indwelling catheterisation for 3 days in the treatment of abnormal PVR following vaginal prolapse surgery.Keywords Catheterisation, urinary retention, vaginal prolapse surgery.Please cite this paper as: Hakvoort R, Thijs S, Bouwmeester F, Broekman A, Ruhe I, Vernooij M, Burger M, Emanuel M, Roovers J. Comparing clean intermittent catheterisation and transurethral indwelling catheterisation for incomplete voiding after vaginal prolapse surgery: a multicentre randomised trial.

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“…This is in line with the findings of Dixon et al in their study. 4 Our interpretation is that women realise that they have a problem that needs to be managed. However, we also agree that the women's preferences need to be further explored and have done this by a patient preference study that evaluates in detail how women rate intervention-related bother.…”

Section: Authors' Replymentioning

confidence: 99%

Comparing clean intermittent catheterisation and transurethral indwelling catheterisation for incomplete voiding after vaginal prolapse surgery: a multicentre randomised trial

Hakvoort

Roovers

2011

BJOG

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IC in women unable to void on their first postoperative night: second impact on ward organisation and the need for vigilant supervision of junior staff, particularly when several patients returned to the ward each day without an indwelling catheter.Whilst we accept that IC may be associated with a lower rate of bacteriuria and clinical UTI compared to indwelling catheterisation, further research is necessary to explore patients' attitudes to IC in the postoperative period. When implementing new regimes of catheterisation postoperatively consideration should be given to staffing levels and skill mix on the ward. j

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RCT of urethral versus suprapubic catheterization

Abstract: The use of intermittent catheterization following urogynaecological surgery is associated with a more rapid return to normal micturition and a shorter hospital stay, although the clinical significance of the difference is perhaps limited.

Cited by 28 publications

References 11 publications

Suprapubic Compared With Transurethral Bladder Catheterization for Gynecologic Surgery

Suprapubic Compared With Transurethral Bladder Catheterization for Gynecologic Surgery

Comparing clean intermittent catheterisation and transurethral indwelling catheterisation for incomplete voiding after vaginal prolapse surgery: a multicentre randomised trial

Comparing clean intermittent catheterisation and transurethral indwelling catheterisation for incomplete voiding after vaginal prolapse surgery: a multicentre randomised trial

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