Are in-dwelling catheters necessary for 24 hours after hysterectomy?

OBJECTIVE: In-dwelling catheters for 24 hours after operation are used routinely in gynecologic surgery. This study assesses whether the immediate removal of an in-dwelling catheter after the operation affects the rate of recatheterization, febrile morbidity, symptomatic urinary tract infections, or...

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Bibliographic Details
Published in:American journal of obstetrics and gynecology 2003-08, Vol.189 (2), p.435-437
Main Authors: Dunn, Terry S, Shlay, Judith, Forshner, Dave
Format: Article
Language:English
Subjects:
Adult
Aged
Biological and medical sciences
Catheters, Indwelling - adverse effects
Device Removal - adverse effects
Female
Humans
Hysterectomy
In-dwelling catheter
Medical sciences
Middle Aged
Pain - etiology
Pain - physiopathology
Postoperative Care - adverse effects
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the genital tract and mammary gland
Time Factors
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Summary:OBJECTIVE: In-dwelling catheters for 24 hours after operation are used routinely in gynecologic surgery. This study assesses whether the immediate removal of an in-dwelling catheter after the operation affects the rate of recatheterization, febrile morbidity, symptomatic urinary tract infections, or subjective pain assessments. STUDY DESIGN: This study was a prospective randomized controlled trial comprised of 250 women who underwent hysterectomy and who did not require bladder suspension or strict fluid treatment. The in-dwelling catheter was removed either immediately after the operation or on the first day after the operation. The association between clinical variables and the length of catheterization were assessed by chi-squared analysis. RESULTS: Patients were assigned randomly into 2 groups, with no significant differences in the outcomes, only in the perception of pain. Clinical events included fever (≥38.5°C) that occurred in 6 patients in the in-dwelling catheter group compared with 5 patients in the early removal group ( P = .01), symptomatic urinary tract infections in 3 patients in both groups ( P = .99), and recatheterization in 3 patients in the in-dwelling catheter group compared with 5 patients in the early removal group ( P = .17). Subjectively, patients in the early removal group reported significantly less pain than did the in-dwelling group ( P
ISSN:0002-9378
1097-6868
DOI:10.1067/S0002-9378(03)00496-4