Immediate urinary catheter removal after benign non-hysterectomy gynaecological laparoscopic surgery tied to higher risk of urinary retention
A study published in BJOG: An International Journal of Obstetrics & Gynaecology entitled "Immediate versus delayed urinary catheter removal following non-hysterectomy benign gynaecological laparoscopy: a randomised trial" by Lalla McCormack et al. and the team has concluded that there is no reduction in rates of UTI with immediate compared with delayed catheter removal.
They added that Clinicians favouring immediate removal of IDC and earlier discharge should know about the associated increased risk of urinary retention. Patients could be informed that there is approximately a 1 in 12 chance of needing the reinsertion of a urinary catheter for managing retention.
In the present study, a team of researchers compared rates of urinary retention and postoperative urinary tract infection between women with immediate versus women with the delayed removal of the indwelling catheter following benign non-hysterectomy gynaecological laparoscopic surgery. Urinary retention and urinary tract infection were the co-primary outcomes measured in the study.
The secondary outcomes researchers measured in this study were the hospital readmission, analgesia requirements, duration of hospitalisation, and validated bladder function questionnaires.
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