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Overnight removal of urinary indwelling catheter following vaginal prolapse surgery (OVERACT)

Published:September 29, 2022DOI:https://doi.org/10.1016/j.ejogrb.2022.09.026

      Abstract

      Objective

      Pelvic organ prolapse is a common condition in women. Adequate timing of urinary catheter removal after vaginal prolapse surgery is essential to reduce post-operative morbidity. We compared midnight removal of the indwelling urinary catheter to removal next morning.

      Methods

      We performed a retrospective cohort study among 266 women undergoing vaginal prolapse surgery, of whom 132 women had urinary catheter removal at midnight and 134 women morning after surgery. We compared the occurrence of urinary retention, time till first micturition, need for clean intermittent catherization and duration of hospital admission. Also, we assessed risk factors for the occurrence of retention.

      Results

      Retention occurred less after midnight removal of the urinary catheter, compared to removal next morning (6.1 % versus 23.9 %, p < 0.001). Furthermore, the time till catheter removal and discharge from hospital were shorter and the need for clean intermittent catheterization during hospital admission was lower after midnight compared to next morning removal of the urinary catheter. We identified anterior colporrhaphy as a risk factor for retention.

      Conclusion

      Our results suggest that early removal of the indwelling urinary catheter after vaginal prolapse surgery seems save with respect to urinary retention and leads to earlier mobilization and shorter hospital admission.

      Abbreviations:

      BMI (body mass index), CIC (clean intermitted catheterization), IUC (indwelling urinary catheter), MF (Manchester-Fothergill), MMC (Máxima Medical Centre), OR (odds ratio), POP-Q (Pelvic Organ Prolapse Quantification), PVR (Post-void residual), SSF (sacrospinous fixation)

      Keywords

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