Comparison between the Outcomes of Short Term Versus Long Term Catheterisation after Anterior Colporraphy with or without Other Vaginal Procedures: A Hospital based Prospective, Comparative, Randomised Study

Introduction: Defects in the pelvic supporting structuresresult in a variety of clinically evident pelvic relaxationabnormalities. The present study was aimed to assess whetherremoval of an in-dwelling catheter 24 hours after surgery affectthe rate of re-catheterization, symptomatic or asymptomaticurinary tract infections and hospital stay in comparison to 72hours of catheterization.Material and methods: Interventional, Prospective, hospitalbased study was done in Department of Obstetrics andGynaecology of R.G. Kar Medical College and Hospitalduring July 2016- June 2017. All women under gone anteriorcolporrhaphy with or without other vaginal procedure wereincluded and divided into two groups randomly. Group Aincluded 195 patients with Foley catheter kept in situ for 24hours following surgery and Group B included 195 patientswith Foley catheter placed in situ for 72 hours followingcompletion of surgery.Results: Mean duration of catheter removal to voidingduration in group A (2.3077±1.2301 hours) and in groupB (2.2308±1.1090 hours) was statistically insignificant(p=0.5170). Difference between post-void residual urine ineach group was insignificant (p=0.1021). Need and attempts ofre-catheterisation in either group was statistically insignificant(p=0.1184). Presence of UTI and Asymptomatic Bacteriuriawere statistically significant (p=0.0002 for UTI and p=0.0115for asymptomatic bacteriuria) in two groups and found less ingroup A compared to group B. Mean hospital stay in group A(2.533±0.8572 days) was less than Group B (3.7487±1.0762days) and was statistically significant (p<0.0001).Conclusion: Early removal of catheter is associated with lesshospital-stay, less complication like UTI or asymptomaticbacteriuria but has no effect on post void residual volume,voiding duration, attempts and need of re-catheterisation.

Keywords

Catheterisation, UTI, Asymptomatic Bacteriuria, Anterior Colporrhaphy

Citation

Roy Sandip, Samanta Subrata, Jha Tulika, Bera Bratati, Roy Baishali, Chowdhury Nilanjana. Comparison between the Outcomes of Short Term Versus Long Term Catheterisation after Anterior Colporraphy with or without Other Vaginal Procedures: A Hospital based Prospective, Comparative, Randomised Study. International Journal of Contemporary Medical Research . 2019 Jul; 6(7): g1-g6

URI

https://imsear.searo.who.int/handle/123456789/202491

Collections

International Journal of Contemporary Medical Research

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