We expected that the use of postoperative transurethral catheterization resulted in higher urinary retention rates in women after surgical correction of cystocele compared to suprapubic catheterization.
ID
Bron
Verkorte titel
Aandoening
Urinary retention
Cystocele repair
Suprapubic catheterization
Transurethral catheterization
Vaginal prolapse surgery
Ondersteuning
Onderzoeksproduct en/of interventie
Uitkomstmaten
Primaire uitkomstmaten
Urinary residual volume, defined as the percentage of patients with a residual volume more than 150 ml after spontaneous voidance the morning of the fourth postoperative day, following clamping (SP) or removing (TU) the catheter the evening before.
Achtergrond van het onderzoek
Objective:
To compare the effect of suprapubic catheterization with that of transurethral catheterization on residual urine volumes after vaginal prolapse surgery.
Methods:
Patients who underwent operative cystocele repair were randomized between a suprapubic catheter and a transurethral catheter. At the third postoperative day, the catheter in the suprapubic group was clamped and the catheter in the transurethral group was removed. Residual volumes after voiding were measured. Where the residual volume exceeded 150 ml, a prolonged stay or recatheterisation was effectuated. Urinary samples were taken before clamping or removing the catheter to measure the number of urinary tract infection. Need for prolonged catheterization, recatheterization and number of complications were registered.
Doel van het onderzoek
We expected that the use of postoperative transurethral catheterization resulted in higher urinary retention rates in women after surgical correction of cystocele compared to suprapubic catheterization.
Onderzoeksopzet
1. Morning of the fourth postoperative day;
2. In case of first residual volume exceeding 150 ml: monitoring of residual volumes every 4 hours (suprapubic) and every 24 hours (transurethral);
3. End of catheterization;
4. 6 weeks after surgery.
Onderzoeksproduct en/of interventie
1. Suprapubic catheterization after cystocele correction.
2. Transurethral catheterization after cystocele correction.
Publiek
Department of Obstetrics & Gynecology
Paul J.Q. Linden, van der
Deventer
The Netherlands
Wetenschappelijk
Department of Obstetrics & Gynecology
Paul J.Q. Linden, van der
Deventer
The Netherlands
Belangrijkste voorwaarden om deel te mogen nemen (Inclusiecriteria)
Women sceduled for surgical correction of cystocele (women undergoing prolapse surgery without the correction of cystocele did not meet the inclusion criteria; patients who were planned for a procedure combining prolapse surgery with any technique for correction of incontinence, e.g. tension-free vaginal tape, were also not eligible).
Belangrijkste redenen om niet deel te kunnen nemen (Exclusiecriteria)
1. History of urinary retention.
2. Urinary tract infection at the time of randomizaton.
3. History of urological disease or renal insufficiency.
4. Unability to speak and read the Dutch language.
Opzet
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