Voiding difficulty due to nearly complete labial fusion in a post-menopausal woman

Chang, Chi‐Lun; Hsu, Fang-Kuo; Lai, Man-Jung; Lee, Hui‐Ling; Horng, Huann-Cheng; Wang, Peng-Hui

doi:10.1016/j.tjog.2020.05.030

Cited by 2 publications

(1 citation statement)

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“…Two studies regarding the timing of Foley catheter involved patients who had undergone laparotomy (Joshi et al, 2014; Ouladsahebmadarek et al, 2012). However, advances in technology for minimally invasive surgery have made laparoscopic surgery a useful option for patients with benign gynecological tumors, based on smaller wounds, faster postoperative recovery, reduced wound pain, and fewer adhesions, relative to exploratory laparotomy (Chang et al, 2020; Chung et al, 2019; Jiang & Wang, 2019; Soriero et al, 2020). Our findings echo those for patients who underwent laparoscopically assisted vaginal hysterectomy, which found immediate catheter removal increased the urinary retention rate to 14% to 34% (Brackmann et al, 2020; Ghezzi et al, 2007; Liang et al, 2009).…”

Section: Discussionmentioning

confidence: 99%

Early and Standard Urinary Catheter Removal After Gynecological Surgery for Benign Lesions: A Quasi-Experimental Study

et al. 2021

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Patients undergoing gynecological surgery commonly receive indwelling transurethral Foley catheters, however duration of catheterization is associated with risk of urinary tract infections and other adverse effects. Early removal of catheters is encouraged, however optimal timing postsurgery remains unclear. This quasi-experimental study compared outcomes for women after removal of a Foley catheter at two different times following benign gynecological surgery. Participants received either early catheter removal, within 6 hours of surgery ( n = 38) or standard catheter removal, within 12 to 24 hours of surgery ( n = 45). There were no significant differences in outcomes for discomfort scores or re-catheterization rates between groups. However, the early removal group had a significantly shorter time to first ambulation and shorter hospital stays. Early removal of Foley catheters in patients who underwent gynecological surgery did not increase adverse events. Early removal of catheters after gynecological surgery may decrease re-catheterization rates and increase patient satisfaction.

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