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International Urogynecology Journal
Published in: International Urogynecology Journal 3/2009

01-03-2009 | Original Article

Postoperative urinary outcomes in catheterized and non-catheterized patients undergoing laparoscopic-assisted vaginal hysterectomy—a randomized controlled trial

Authors: Ching-Chung Liang, Chyi-Long Lee, Ting-Chang Chang, Yao-Lung Chang, Chin-Jung Wang, Yung-Kuei Soong

Published in: International Urogynecology Journal | Issue 3/2009

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Abstract

The objective of this study is to assess the impact of bladder catheterization on the incidence of postoperative urinary tract infection (UTI) and urinary retention (PUR) following laparoscopic-assisted vaginal hysterectomy (LAVH). One hundred fifty patients undergoing LAVH were randomly assigned to no catheter use, 1-day, and 2-day catheter groups. The relationship between preoperative, intraoperative, and postoperative factors and the rates of UTI and PUR were determined. The incidences of UTI and PUR were 9.3% and 18.7%, respectively. The highest rate of UTI occurred in the 2-day catheter group; the highest rate of PUR occurred in no-catheter-use group. Multivariable logistical regression showed the duration of catheterization was the single predictor of UTI; duration of catheterization and diabetes mellitus were predictors for PUR. While short-term indwelling catheterization resulted in decreased rate of PUR, UTI rate increased among patients undergoing LAVH. Nonetheless, most patients resumed normal urination shortly after surgery.
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Metadata
Title
Postoperative urinary outcomes in catheterized and non-catheterized patients undergoing laparoscopic-assisted vaginal hysterectomy—a randomized controlled trial
Authors
Ching-Chung Liang
Chyi-Long Lee
Ting-Chang Chang
Yao-Lung Chang
Chin-Jung Wang
Yung-Kuei Soong
Publication date
01-03-2009
Publisher
Springer-Verlag
Published in
International Urogynecology Journal / Issue 3/2009
Print ISSN: 0937-3462
Electronic ISSN: 1433-3023
DOI
https://doi.org/10.1007/s00192-008-0769-6

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