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

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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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Acknowledgement

This work was supported by Medical Research Project Grant CMRPG 360291 and BMRP 412 from Chang Gung Memorial Hospital. We would like to thank the following gynecologists for their assistance to accomplish this study: SD Chang, HY Huang, KJ Huang, CW Wang, LH Tseng, and CM Han.

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Authors and Affiliations

  1. Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Medical Center, 5, Fu-Shin Street, Kweishan, Taoyuan, Taiwan, 333

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

  2. College of Medicine, Chang Gung University, Taoyuan, Taiwan

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

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  1. Ching-Chung Liang
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  2. Chyi-Long Lee
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  4. Yao-Lung Chang
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Correspondence to Yung-Kuei Soong.

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Liang, CC., Lee, CL., Chang, TC. et al. Postoperative urinary outcomes in catheterized and non-catheterized patients undergoing laparoscopic-assisted vaginal hysterectomy—a randomized controlled trial. Int Urogynecol J 20, 295–300 (2009). https://doi.org/10.1007/s00192-008-0769-6

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  • DOI: https://doi.org/10.1007/s00192-008-0769-6

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