The primary aim of this study is to compare the rate of acute urinary retention (AUR) after immediate compared to early (24-hours) removal of urinary catheter (UC) in patients undergoing minimally invasive colorectal resection. The study hypothesis is that immediate UC removal is non-inferior to 24-hours UC removal in terms of AUR rate. The secondary outcomes focus on goals that could be positively impacted by the immediate removal of the UC at the end of the surgery. In particular, the rate of urinary tract infections, perception of pain, time-to-return of bowel and physical functions, postoperative complications and postoperative length of stay will all be measured.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
DOUBLE
Enrollment
216
Urinary catheter removal immediately after the end of the surgical procedure before exiting the operating room.
urinary catheter removal on the first postoperative day (6 a.m)
Division of General and Hepatobiliary Surgery
Verona, Italy, Italy
Acute urinary retention rate
Occurrence of urinary retention after removal of urinary catheter
Time frame: 3 days postoperatively
Urinary tract infections
Occurrence of urinary tract infections
Time frame: 30 days postoperatively
UC reinsertion
need for urinary catheter reinsertion after first removal
Time frame: 30 days postoperatively
Pain scores
Numeric Rating Scores (NRS) for abdominal pain (0-10)
Time frame: 6,12,24,48 and 72 hours after surgery
Bowel function
Time for return of bowel function as for flatus and stools postoperatively
Time frame: 10 days postoperatively
Mobilization
Return to passive and active mobilization postoperatively
Time frame: 10 days postoperatively
Morbility
Postoperative morbility according to the Clavien-Dindo classification
Time frame: first 30 days after surgery
Length of hospital stay
postoperative stay
Time frame: 30 days postoperatively
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