Article: A prospective randomized trial to compare immediate and 24-hour delayed catheter removal following total abdominal hysterectomy

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TitleA prospective randomized trial to compare immediate and 24-hour delayed catheter removal following total abdominal hysterectomy
AuthorsChai, J1 2
Pun, TC1
KeywordsCatheter
hysterectomy
pain
Issue Date2011
PublisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1600-0412
CitationActa Obstetricia Et Gynecologica Scandinavica, 2011, v. 90 n. 5, p. 478-482 [How to Cite?]
DOI: http://dx.doi.org/10.1111/j.1600-0412.2011.01104.x
AbstractObjective. To assess whether early or immediate removal of a 12F in-dwelling Foley catheter after total abdominal hysterectomy affects the level of subjective pain assessment postoperatively. Design. Randomized controlled trial. Setting. University Hospital. Population. Seventy women underwent total abdominal hysterectomies for various benign gynecological diseases. Methods. Women were randomized to have the urinary catheter removed in the operating room after the surgical procedure or to have it removed on postoperative day 1. Main outcome measures. The primary outcome was patients' pain assessment and the secondary outcomes were rate of re-catheterization and symptomatic urinary tract infection. Results. There was no difference in the pain assessment between the two groups. A significantly higher number of urinary retention episodes requiring re-catheterization were found in the immediate removal group compared with the delayed removal group (20 vs. 0%; p= 0.011). The incidence of symptomatic urinary tract infection did not differ between the two groups. Conclusions. There are pros and cons regarding the policy of one-day in-dwelling catheterization compared to immediate catheter removal. © 2011 The Authors.
ISSN0001-6349
2011 Impact Factor: 1.771
2011 SCImago Journal Rankings: 0.138
DOIhttp://dx.doi.org/10.1111/j.1600-0412.2011.01104.x
ReferencesReferences in Scopus
DC Field
Value
dc.contributor.authorChai, J
dc.contributor.authorPun, TC
dc.date.accessioned2011-07-27T01:39:09Z
dc.date.available2011-07-27T01:39:09Z
dc.date.issued2011
dc.description.abstractObjective. To assess whether early or immediate removal of a 12F in-dwelling Foley catheter after total abdominal hysterectomy affects the level of subjective pain assessment postoperatively. Design. Randomized controlled trial. Setting. University Hospital. Population. Seventy women underwent total abdominal hysterectomies for various benign gynecological diseases. Methods. Women were randomized to have the urinary catheter removed in the operating room after the surgical procedure or to have it removed on postoperative day 1. Main outcome measures. The primary outcome was patients' pain assessment and the secondary outcomes were rate of re-catheterization and symptomatic urinary tract infection. Results. There was no difference in the pain assessment between the two groups. A significantly higher number of urinary retention episodes requiring re-catheterization were found in the immediate removal group compared with the delayed removal group (20 vs. 0%; p= 0.011). The incidence of symptomatic urinary tract infection did not differ between the two groups. Conclusions. There are pros and cons regarding the policy of one-day in-dwelling catheterization compared to immediate catheter removal. © 2011 The Authors.
dc.description.natureLink_to_subscribed_fulltext
dc.identifier.citationActa Obstetricia Et Gynecologica Scandinavica, 2011, v. 90 n. 5, p. 478-482 [How to Cite?]
DOI: http://dx.doi.org/10.1111/j.1600-0412.2011.01104.x
dc.identifier.doihttp://dx.doi.org/10.1111/j.1600-0412.2011.01104.x
dc.identifier.epage482
dc.identifier.hkuros185988
dc.identifier.hkuros202228
dc.identifier.isiWOS:000290360100010
Funding AgencyGrant Number
Department of Obstetrics and Gynecology, University of Hong Kong
Funding Information:

This project was funded by the Department of Obstetrics and Gynecology, University of Hong Kong.

dc.identifier.issn0001-6349
2011 Impact Factor: 1.771
2011 SCImago Journal Rankings: 0.138
dc.identifier.issue5
dc.identifier.pmid21332450
dc.identifier.scopuseid_2-s2.0-79955051662
dc.identifier.spage478
dc.identifier.urihttp://hdl.handle.net/10722/135670
dc.identifier.volume90
dc.languageeng
dc.publisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1600-0412
dc.publisher.placeUnited Kingdom
dc.relation.ispartofActa Obstetricia et Gynecologica Scandinavica
dc.relation.referencesReferences in Scopus
dc.rightsActa Obstetricia et Gynecologica Scandinavica. Copyright © John Wiley & Sons Ltd.
dc.subject.meshDevice Removal - methods
dc.subject.meshHysterectomy - adverse effects
dc.subject.meshPain, Postoperative - etiology - psychology
dc.subject.meshUrinary Catheterization - adverse effects - methods
dc.subject.meshUrinary Tract Infections - epidemiology - etiology
dc.subjectCatheter
dc.subjecthysterectomy
dc.subjectpain
dc.titleA prospective randomized trial to compare immediate and 24-hour delayed catheter removal following total abdominal hysterectomy
dc.typeArticle
Author Affiliations
  1. The University of Hong Kong
  2. Queen Mary Hospital Hong Kong