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A prospective, randomized trial comparing continuous bladder drainage with catheterization at abdominal hysterectomy.

S P Dobbs·S R Jackson·A M Wilson·R P Maplethorpe·R H Hammond
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Abstract

OBJECTIVE: To compare the infection rate and post-operative morbidity between in-dwelling urinary catheterization and 'in-out' catheterization at the time of routine total abdominal hysterectomy. PATIENTS AND METHODS: The study comprised 100 patients who were blindly randomized to have either an indwelling Foley catheter or an 'in-out' catheterization at the time of surgery. Follow-up data on the retention of urine, urinary symptoms and infection were obtained. RESULTS: Of the 95 patients with complete data, 36% of those undergoing in-out catheterization had urinary retention after operation, requiring bladder emptying, compared with 4% of those receiving an indwelling catheter (P < 0.001). In addition, 29% of the catheterized group had urinary tract bacteriuria compared with 13% of the uncatheterized group (P < 0.025). CONCLUSION: This randomized controlled trial showed that in-out urinary catheterization at the time of routine abdominal hysterectomy was associated with a significantly higher incidence of post-operative urinary retention compared with in-dwelling catheterization, and may have implications for long-term bladder function.

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AdultBacteriuriaCatheters, IndwellingFemaleHumansHysterectomyMiddle AgedProspective StudiesUrinary CatheterizationUrinary RetentionUrinary Tract InfectionsClinical TrialComparative StudyJournal ArticleRandomized Controlled Trial

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S P Dobbs, S R Jackson, A M Wilson, R P Maplethorpe, R H Hammond. 1997. A prospective, randomized trial comparing continuous bladder drainage with catheterization at abdominal hysterectomy.. https://doi.org/10.1046/j.1464-410x.1997.t01-1-00376.x

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