Urinary Retention After Removing Urinary Catheter at 24 Hour Versus 48 Hour in Patients With Vaginal Surgery

Department of Medical Services Ministry of Public Health of Thailand60 enrolled

Overview

Comparison incident of urinary retention in patients with vaginal surgery of pelvic organ prolapse, who removed urinary catheter at 24 hours versus 48 hours after surgery

Vaginal surgery of pelvic organ prolapse needs to insert urinary catheter for monitoring post-operative complication, hemodynamic status, and prevention post-operative urinary retention. Urinary retention occur 2.4 - 43% after pelvic organ prolapse surgery, whereas retaining urinary catheter is common cause of urinary tract infection, often hospital-acquired infection. At Rajavithi hospital always remove urinary catheter at 48 hour after surgery. Accordingly, appropriated time for removing urinary catheter in patients with vaginal surgery of pelvic organ prolapse is unclear. This study aims to reduce timing for removing urinary catheter after vaginal surgery, not increase urinary retention and re-catheterization and reduce urinary tract infection and day of hospital stay.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

DOUBLE

Enrollment

Conditions

Urinary Retention Pelvic Organ Prolapse

Interventions

Removing urinary catheterPROCEDURE

Removing urinary catheter after vaginal surgery of pelvic organ prolapse

Eligibility

Sex: FEMALEMin age: 45 YearsMax age: 80 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Woman with pelvic organ prolapse, who undergoing vaginal surgery and agrees to participate in this study * Able to understand and communicate Thai language Exclusion Criteria: * Woman with diabetes mellitus with HbA1C \> 10.9% * Woman with stroke * Woman with urinary tract infection before surgery * Woman with urinary retention before surgery * Woman, who experienced surgery for urinary incontinence * Woman, with operative complication including of hemorrhagic shock (Blood pressure \< 90/60 mmHg, Heart rate \> 120 beats per minute, Intra-operative blood loss \> or = 750 ml), urinary tract injury, bowel injury

Locations (1)

Rajavithi Hospital

Bangkok, Thailand

Outcomes

Primary Outcomes

Urinary retention

Incident of urinary retention (Post-void residual urine at least 150 ml) after removing urinary catheter at 24 hour comparison with 48 hour after vaginal surgery of pelvic organ prolapse

Time frame: Through study completion, an average of 1 year

Secondary Outcomes

Re-catheterization after removing urinary catheter

Incident of re-catheterization after removing urinary catheter at 24 hour comparison with 48 hour after vaginal surgery of pelvic organ prolapse

Time frame: Through study completion, an average of 1 year

Urinary tract infection

Incident of urinary tract infection (positive urine culture) after removing urinary catheter at 24 hour comparison with 48 hour after vaginal surgery of pelvic organ prolapse

Time frame: Through study completion, an average of 1 year

Data from ClinicalTrials.gov

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